Organization Active NPI

Complete Chiropractic, LLC

  • Chiropractor
  • Iowa City, IA
National Provider Identifier
1700290236
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
073221 Issued in IA
Legal business name
COMPLETE CHIROPRACTIC, LLC
Practice address
474 Highway 1 W
Iowa City, IA 52246-4204
Phone
(319) 499-8158
Fax
(319) 483-6627
NPI assigned
Jun 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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

Authorized official

Name
Benjamin Scott Dickerson, D.C.NPI 1154732238
Title
Owner
Phone
(319) 499-8158

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 073221 IA Primary

Addresses

Primary practice location

474 Highway 1 W
Iowa City, IA 52246-4204

Mailing address

474 Highway 1 W
Iowa City, IA 52246-4204
Phone (319) 499-8158

Other practice location 1

5945 Council St NE
Cedar Rapids, IA 52402-5858
Phone (319) 499-8158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140806001884 IA Part B Supplier - Clinic/Group Practice 0244457737 Receives reassigned benefits from 1 practitioner
Practice locations: Iowa City, IA

National Provider Directory

National Provider Directory

Locations

5225 N Park Pl NE
Cedar Rapids, IA 52402
Phone (319) 373-8348

474 Highway 1 W
Iowa City, IA 52246
Phone (319) 499-8158

Practitioners & affiliated clinicians

Practitioners 2

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": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510272000000",
    "number": "1700290236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 HIGHWAY 1 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464204",
            "telephone_number": "319-499-8158",
            "fax_number": "319-483-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 HIGHWAY 1 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464204",
            "telephone_number": "319-499-8158",
            "fax_number": "319-483-6627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5945 Council St NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524025858",
            "country_code": "US",
            "telephone_number": "319-499-8158",
            "fax_number": "319-483-6627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2017-11-10",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-499-8158",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "073221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.