NPIMap

Organization Active NPI

Wicks Chiropractic, P.C.

  • Chiropractor
  • Traer, IA
National Provider Identifier
1679762389
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WICKS CHIROPRACTIC, P.C.
Practice address
551 2ND St
Traer, IA 50675-1138
Phone
(319) 478-8515
Fax
(319) 478-8497
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Mrs. Judy M Ogle, CCA
Title
Certified Chiropractic Assistant
Phone
(319) 478-8515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

551 2ND St
Traer, IA 50675-1138

Mailing address

551 2ND St
Traer, IA 50675-1138
Phone (319) 478-8515

National Provider Directory

National Provider Directory

Locations

204 E 6th St
Vinton, IA 52349
Phone (319) 214-1391

Practitioners & affiliated clinicians

Practitioners 4

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1679762389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 2ND ST",
            "city": "TRAER",
            "state": "IA",
            "postal_code": "506751138",
            "telephone_number": "319-478-8515",
            "fax_number": "319-478-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 2ND ST",
            "city": "TRAER",
            "state": "IA",
            "postal_code": "506751138",
            "telephone_number": "319-478-8515",
            "fax_number": "319-478-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKS CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "OGLE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CERTIFIED CHIROPRACTIC ASSISTANT",
        "authorized_official_telephone_number": "319-478-8515",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.