Organization Active NPI

Cross Chiropractic LLC

  • Primary Care Clinic/Center
  • Newton, IA
National Provider Identifier
1710443593
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CROSS CHIROPRACTIC LLC
Practice address
101 1St Ave E
Newton, IA 50208-3700
Phone
(641) 791-2322
Fax
(641) 791-2229
NPI assigned
Feb 16, 2019
Last updated
Sep 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Dr. Matthew John Cross, DCNPI 1164601662
Title
Clinic Director
Phone
(641) 787-0067

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

101 1St Ave E
Newton, IA 50208-3700

Mailing address

101 1St Ave E
Newton, IA 50208-3700
Phone (641) 787-0067

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191016002167 IA Part B Supplier - Clinic/Group Practice 2860723251 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, IA

National Provider Directory

National Provider Directory

Locations

101 1st Ave E
Ste 3
Newton, IA 50208

Practitioners & affiliated clinicians

Practitioners 1

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": "1550275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1710443593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 1ST AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083700",
            "telephone_number": "641-787-0067",
            "fax_number": "641-787-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1ST AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083700",
            "telephone_number": "641-791-2322",
            "fax_number": "641-791-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-16",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "641-787-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.