Organization Active NPI

Fritz Chiropractic DC PC

Doing business as Dunham Fritz Chiropractic

  • Chiropractor
  • Marshalltown, IA
National Provider Identifier
1609847128
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05985 Issued in IA
Legal business name
FRITZ CHIROPRACTIC DC PC
Doing business as
Dunham Fritz Chiropractic
Practice address
2501 S Center St
Ste E
Marshalltown, IA 50158-4545
Phone
(641) 752-3112
Fax
(641) 752-8822
NPI assigned
Feb 1, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian S Fritz, DCNPI 1477525814
Title
President Owner
Phone
(641) 752-3112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05985 IA Primary

Addresses

Primary practice location

2501 S Center St
Ste E
Marshalltown, IA 50158-4545

Mailing address

2501 S Center St
Ste E
Marshalltown, IA 50158-4545
Phone (641) 752-3112

Other identifiers 1

IdentifierTypeStateIssuer
0292417MedicaidIA

Other names 1

  • Dunham Fritz Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601001188 IA Part B Supplier - Clinic/Group Practice 6800878257 Receives reassigned benefits from 2 practitioners
Practice locations: Marshalltown, IA

National Provider Directory

National Provider Directory

Locations

2501 S Center St
Ste E
Marshalltown, IA 50158
Phone (641) 752-3112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1609847128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S CENTER ST",
            "address_2": "STE E",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584545",
            "telephone_number": "641-752-3112",
            "fax_number": "641-752-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S CENTER ST",
            "address_2": "STE E",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584545",
            "telephone_number": "641-752-3112",
            "fax_number": "641-752-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRITZ CHIROPRACTIC DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "641-752-3112",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0292417",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunham Fritz Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.