NPIMap

Organization Active NPI

Eastside Family Chiropractic, LLC

  • Chiropractor
  • Coralville, IA
National Provider Identifier
1679890933
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007303 Issued in IA
Legal business name
EASTSIDE FAMILY CHIROPRACTIC, LLC
Practice address
1100 5TH St
Suite 112
Coralville, IA 52241-2900
Phone
(319) 333-1299
Fax
(319) 333-1301
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Dr. Dana E Plumb, D.C.
Title
Sole Member
Phone
(319) 333-1299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007303 IA Primary

Addresses

Primary practice location

1100 5TH St
Suite 112
Coralville, IA 52241-2900

Mailing address

1100 5TH St
Suite 112
Coralville, IA 52241-2900
Phone (319) 333-1299

Other identifiers 1

IdentifierTypeStateIssuer
1841514767OtherIAINDIVIDUAL NPI

Other names 1

  • Plumb Tree Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1100 5th St
Ste 112
Coralville, IA 52241
Phone (319) 333-1299

Practitioners & affiliated clinicians

Practitioners 4

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": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1679890933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 5TH ST",
            "address_2": "SUITE 112",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412900",
            "telephone_number": "319-333-1299",
            "fax_number": "319-333-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 5TH ST",
            "address_2": "SUITE 112",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412900",
            "telephone_number": "319-333-1299",
            "fax_number": "319-333-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "PLUMB",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "319-333-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1841514767",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plumb Tree Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.