NPIMap

Organization Active NPI

Camanche Chiropractic Center PLLC

  • Chiropractor
  • Camanche, IA
National Provider Identifier
1669656013
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04299 Issued in IA
Legal business name
CAMANCHE CHIROPRACTIC CENTER PLLC
Practice address
1601 S Washington Blvd
Camanche, IA 52730-1711
Phone
(563) 259-1314
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Dr. Mark Alan Parsons, DCNPI 1184648107
Title
Member
Phone
(563) 259-1314

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 04299 IA Primary

Addresses

Primary practice location

1601 S Washington Blvd
Camanche, IA 52730-1711

Mailing address

1601 S Washington Blvd
Camanche, IA 52730-1711
Phone (563) 259-1314

Other names 2

  • Camanche Chiropractic Center Former legal business name
  • Gary W Parsons DC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240425004058 IA Part B Supplier - Clinic/Group Practice 7719327675 Receives reassigned benefits from 2 practitioners
Practice locations: Camanche, IA

National Provider Directory

National Provider Directory

Locations

1601 S Washington Blvd
Camanche, IA 52730
Phone (563) 259-1314

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1669656013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S WASHINGTON BLVD",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527301711",
            "telephone_number": "563-259-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S WASHINGTON BLVD",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527301711",
            "telephone_number": "563-259-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMANCHE CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "563-259-1314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camanche Chiropractic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gary W Parsons DC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Camanche, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.