North Liberty Clinic of Chiropractic, P.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A5492 Issued in IA

Legal business name

NORTH LIBERTY CLINIC OF CHIROPRACTIC, P.L.C.

Practice address

430 N Dubuque St
North Liberty, IA 52317-9322

Phone

(319) 626-6800

Fax

(319) 626-3830

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Joesph Holub, D.C.NPI 1992725618

Title

Managing Member

Phone

(319) 626-6800

Specialties & licenses 1

Addresses

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.

• Thomas Joesph Holub, D.C.

  • Chiropractor
  • North Liberty, IA
  • NPI 1992725618
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710042601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N DUBUQUE ST",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179322",
            "telephone_number": "319-626-6800",
            "fax_number": "319-626-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N DUBUQUE ST",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179322",
            "telephone_number": "319-626-6800",
            "fax_number": "319-626-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LIBERTY CLINIC OF CHIROPRACTIC, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLUB",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOESPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "319-626-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A5492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark C Mysnyk, M.D.
• Sarah Beth Nace, PA-C
• Dawn Neff
• Amin Nekoomand, D.C.
• Kaitlin Christine Nelson, PA-C
• North Liberty Dental Services P.C.
• North Liberty Family Health Centre, P.C.
• North Liberty Smiles PLLC
• Byron Ezeugo Nwonye, DC
• Shellie Marie O'Brien-Perry, ARNP-C

• Chiropractor in North Liberty, IA
• Providers in North Liberty, 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.