Organization Active NPI

Podey Family & Sports Chiropractic

  • Chiropractor
  • Manning, IA
National Provider Identifier
1700136751
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007368 Issued in IA
Legal business name
PODEY FAMILY & SPORTS CHIROPRACTIC
Practice address
714 3Rd St
Manning, IA 51455-1008
Phone
(712) 655-3242
Fax
(712) 655-2871
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Dr. Lucas Frederick Podey, D.C.NPI 1700180114
Title
Chiropractor
Phone
(712) 655-3242

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 007368 IA Primary

Addresses

Primary practice location

714 3Rd St
Manning, IA 51455-1008

Mailing address

714 3Rd St
Manning, IA 51455-1008
Phone (712) 655-3242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130219000229 IA Part B Supplier - Clinic/Group Practice 5294980413 Receives reassigned benefits from 1 practitioner
Practice locations: Manning, IA

National Provider Directory

National Provider Directory

Locations

714 3rd St
Manning, IA 51455
Phone (712) 653-3242

Practitioners & affiliated clinicians

Practitioners 1

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": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1700136751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 3RD ST",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "514551008",
            "telephone_number": "712-655-3242",
            "fax_number": "712-655-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 3RD ST",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "514551008",
            "telephone_number": "712-655-3242",
            "fax_number": "712-655-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODEY FAMILY & SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "PODEY",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "712-655-3242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.