Organization Active NPI

Iowa Falls Chiropractic Clinic

  • Chiropractor
  • Iowa Falls, IA
National Provider Identifier
1639885734
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IOWA FALLS CHIROPRACTIC CLINIC
Doing business as
Iowa Falls Chiropractic Clinic
Practice address
11323 Hwy 65
Iowa Falls, IA 50126-8822
Phone
(641) 648-2446
Fax
(641) 648-2330
NPI assigned
Jan 23, 2023
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Mr. Shane Warren Krukow, D.C.NPI 1750481297
Title
Owner
Phone
(641) 648-2446

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 SINGLE SPECIALTY GROUP 111N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

11323 Hwy 65
Iowa Falls, IA 50126-8822

Mailing address

11323 Hwy 65
Iowa Falls, IA 50126-8822
Phone (641) 648-2446

Other names 1

  • Iowa Falls Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229003053 IA Part B Supplier - Clinic/Group Practice 8022453042 Receives reassigned benefits from 2 practitioners
Practice locations: Iowa Falls, IA

National Provider Directory

National Provider Directory

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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1639885734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11323 HWY 65",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501268822",
            "telephone_number": "641-648-2446",
            "fax_number": "641-648-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11323 HWY 65",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501268822",
            "telephone_number": "641-648-2446",
            "fax_number": "641-648-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA FALLS CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-03-20",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "KRUKOW",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-648-2446",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Falls Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Iowa Falls Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.