Puffett Chiropractic Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06461 Issued in IA

Legal business name

PUFFETT CHIROPRACTIC CLINIC, PC

Practice address

201 3Rd Ave SE
Independence, IA 50644-2824

Phone

(319) 334-2324

Fax

(319) 334-2494

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason Charles Puffett, D.C.NPI 1699878892

Title

Owner

Phone

(319) 334-2324

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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

• Jason Charles Puffett, D.C.

  • Chiropractor
  • Independence, IA
  • NPI 1699878892
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669676482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 3RD AVE SE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506442824",
            "telephone_number": "319-334-2324",
            "fax_number": "319-334-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 3RD AVE SE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506442824",
            "telephone_number": "319-334-2324",
            "fax_number": "319-334-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUFFETT CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUFFETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-334-2324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463182",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jason Charles Puffett, D.C.
• R.D. Espe OD, PC
• Karen Kay Randall, OTR/L
• Hasna Rannow
• Haylee Rathbun

• Chiropractor in Independence, IA
• Providers in Independence, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.