NPIMap

Organization Active NPI

Gregerson Chiropractic PC

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1710058268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05804 Issued in IA
Legal business name
GREGERSON CHIROPRACTIC PC
Practice address
1520 Midland CT NE
Suite 100
Cedar Rapids, IA 52402-8404
Phone
(319) 362-3601
Fax
(319) 362-3610
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Darryl Dodd Gregerson, DCNPI 1669587077
Title
President
Phone
(319) 362-3601

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 A05804 IA Primary

Addresses

Primary practice location

1520 Midland CT NE
Suite 100
Cedar Rapids, IA 52402-8404

Mailing address

1520 Midland CT NE
Suite 100
Cedar Rapids, IA 52402-8404
Phone (319) 362-3601

National Provider Directory

National Provider Directory

Locations

1953 1st Ave SE
Ste A5
Cedar Rapids, IA 52402
Phone (319) 362-3350

Practitioners & affiliated clinicians

Practitioners 2

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710058268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 MIDLAND CT NE",
            "address_2": "SUITE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524028404",
            "telephone_number": "319-362-3601",
            "fax_number": "319-362-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 MIDLAND CT NE",
            "address_2": "SUITE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524028404",
            "telephone_number": "319-362-3601",
            "fax_number": "319-362-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGERSON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREGERSON",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "DODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-362-3601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.