Active NPI
Hartzell Family Chiropractic, P.L.C.
- Chiropractor
- Waterloo, IA
National Provider Identifier
1669654356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06877
- Legal business name
- HARTZELL FAMILY CHIROPRACTIC, P.L.C.
- Practice address
- 509 Ansborough Ave
Ste a
Waterloo, IA 50701-2139 - Phone
- (319) 226-4404
- Fax
- (319) 226-4406
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jill Ann Hartzell, D.C.
- Title
- President
- Phone
- (319) 226-4404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06877 | IA | Primary |
Addresses
Primary practice location
509 Ansborough Ave
Ste a
Waterloo, IA 50701-2139
Mailing address
509 Ansborough Ave
Ste a
Waterloo, IA 50701-2139
Phone (319) 226-4404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0486209 | Medicaid | IA | |
| I17438 | Other | IA | MEDICARE ID-PIN |
National Provider Directory
National Provider DirectoryLocations
509 Ansborough Ave
Ste A
Waterloo, IA 50701
Phone (319) 226-4404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1669654356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 ANSBOROUGH AVE",
"address_2": "STE A",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507012139",
"telephone_number": "319-226-4404",
"fax_number": "319-226-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 ANSBOROUGH AVE",
"address_2": "STE A",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507012139",
"telephone_number": "319-226-4404",
"fax_number": "319-226-4406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARTZELL FAMILY CHIROPRACTIC, P.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-04",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "HARTZELL",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-226-4404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "06877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0486209",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-PIN",
"identifier": "I17438",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.