Acaa Altoona

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACAA ALTOONA

Practice address

1003 8TH St SW Ste 3
Altoona, IA 50009-2349

Phone

(515) 505-2989

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gareth Lourens, DCNPI 1215586219

Title

Owner

Phone

(515) 505-2989

Specialties & licenses 1

Addresses

Locations

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.

• Gareth Patrick Lourens, DC

  • Chiropractor
  • Waukee, IA
  • NPI 1215586219
  NPD Authorized official

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1710729611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 8TH ST SW STE 3",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500092349",
            "telephone_number": "515-505-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 8TH ST SW STE 3",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500092349",
            "telephone_number": "515-505-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACAA ALTOONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "LOURENS",
        "authorized_official_first_name": "GARETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-505-2989",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Altoona, IA
• Providers in Altoona, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.