Organization Active NPI

Corridor Wellness, LLC

  • Chiropractor
  • Hiawatha, IA
National Provider Identifier
1639693203
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
077303 Issued in IA
Legal business name
CORRIDOR WELLNESS, LLC
Practice address
99 N Center Point Rd
Hiawatha, IA 52233-1401
Phone
(319) 892-3363
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Authorized official

Name
Dr. Hannah Jo Anderson, DC
Title
Chiropractor
Phone
(319) 361-7170

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 077303 IA Primary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 077303 IA
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NP0017X 077303 IA

Addresses

Primary practice location

99 N Center Point Rd
Hiawatha, IA 52233-1401

Mailing address

209 25TH Street Dr SE
Cedar Rapids, IA 52403-1621
Phone (319) 361-7170

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1639693203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 25TH STREET DR SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031621",
            "telephone_number": "319-361-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N CENTER POINT RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331401",
            "telephone_number": "319-892-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIDOR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "319-361-7170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "077303",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IA",
            "license": "077303",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "IA",
            "license": "077303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.