Organization Active NPI

Meisch Chiropractic PC

  • Chiropractor
  • Dyersville, IA
National Provider Identifier
1720131568
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5091 Issued in IA
Legal business name
MEISCH CHIROPRACTIC PC
Practice address
690 Field of Dreams Way
Dyersville, IA 52040-2517
Phone
(563) 875-9300
Fax
(563) 875-7431
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Robert Michael Meisch, D.C.NPI 1225012040
Title
President
Phone
(563) 875-9300

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 5091 IA Primary

Addresses

Primary practice location

690 Field of Dreams Way
Dyersville, IA 52040-2517

Mailing address

690 Field of Dreams Way
Dyersville, IA 52040-2517
Phone (563) 875-9300

Other identifiers 1

IdentifierTypeStateIssuer
0225946MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070328000019 IA Part B Supplier - Clinic/Group Practice 9537263710 Receives reassigned benefits from 1 practitioner
Practice locations: Dyersville, IA

National Provider Directory

National Provider Directory

Locations

690 Field of Dreams Way
Dyersville, IA 52040
Phone (563) 875-9300

Practitioners & affiliated clinicians

Practitioners 1

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1720131568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 FIELD OF DREAMS WAY",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402517",
            "telephone_number": "563-875-9300",
            "fax_number": "563-875-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 FIELD OF DREAMS WAY",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402517",
            "telephone_number": "563-875-9300",
            "fax_number": "563-875-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEISCH CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "MEISCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-875-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "5091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225946",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.