Spinal Corrective Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03044 Issued in IA

Legal business name

SPINAL CORRECTIVE CENTER PC

Practice address

3800 River Ridge Dr NE
Cedar Rapids, IA 52402-7530

Phone

(319) 393-3996

Fax

(319) 393-7187

NPI assigned

Apr 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. W Gene Cretsinger, DC

Title

Chiropractor Owner

Phone

(319) 393-3996

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Hynek, D.C

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1518693324
  NPD

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1629034145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RIVER RIDGE DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027530",
            "telephone_number": "319-393-3996",
            "fax_number": "319-393-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RIVER RIDGE DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027530",
            "telephone_number": "319-393-3996",
            "fax_number": "319-393-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CORRECTIVE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "CRETSINGER",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "319-393-3996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "03044",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A5719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1105197",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DR W GENE CRETSINGER",
            "identifier": "09235",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026153",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DR JANET M CUHEL",
            "identifier": "14324",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athena R Speller, LSW
• Luke Michael Spellman, D.O.
• Alison Speltz, BSN, RN
• Warren Scott Spencer, MD
• Sharon Spiller, ARNP
• Stephanie A Spinosi, ARNP
• Spirit Mind Body LLC
• Sara D Spiva, D.O.
• Nicole Sporrer, DNP, ARNP
• Spring Valley Ventures, P.C.

• All providers in Cedar Rapids, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.