Organization Active NPI

Dr Richard W Haas Chiropractor PC

  • Chiropractor
  • Mason City, IA
National Provider Identifier
1639241920
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06802 Issued in IA
Legal business name
DR RICHARD W HAAS CHIROPRACTOR PC
Practice address
1403 S Federal Ave
Mason City, IA 50401
Phone
(641) 424-6531
Fax
(641) 424-6532
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Dr. Richard William Haas, DCNPI 1770591703
Title
Owner
Phone
(641) 424-6531

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 04549 IA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 06802 IA Primary

Addresses

Primary practice location

1403 S Federal Ave
Mason City, IA 50401

Mailing address

1403 S Federal Ave
Mason City, IA 50401-5727
Phone (641) 424-6531

Other identifiers 1

IdentifierTypeStateIssuer
0489104MedicaidIA

Other names 1

  • Haas Chiropractic Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051205000386 IA Part B Supplier - Clinic/Group Practice 2668492752 Receives reassigned benefits from 3 practitioners
Practice locations: Mason City, IA

National Provider Directory

National Provider Directory

Locations

1403 S Federal Ave
Mason City, IA 50401
Phone (541) 424-6531

Practitioners & affiliated clinicians

Practitioners 3

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1639241920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S FEDERAL AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015727",
            "telephone_number": "641-424-6531",
            "fax_number": "641-424-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S FEDERAL AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "50401",
            "telephone_number": "641-424-6531",
            "fax_number": "641-424-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD W HAAS CHIROPRACTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-424-6531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04549",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0489104",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haas Chiropractic Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.