Organization Active NPI

Devries Family Chiropractic PC

  • Chiropractor
  • Mapleton, IA
National Provider Identifier
1730519745
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007688 Issued in IA
Legal business name
DEVRIES FAMILY CHIROPRACTIC PC
Practice address
421 Main St
Mapleton, IA 51034-1212
Phone
(712) 882-1977
Fax
(712) 882-1944
NPI assigned
Nov 13, 2013
Last updated
Jan 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Dr. Eric Thomas Devries, D.C.NPI 1326105420
Title
Owner /Doctor
Phone
(712) 882-1977

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
Chiropractor 111N00000X 007688 IA Primary
Chiropractor 111N00000X 007689 IA

Addresses

Primary practice location

421 Main St
Mapleton, IA 51034-1212

Mailing address

421 Main St
Mapleton, IA 51034-1212
Phone (712) 882-1977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140410000715 IA Part B Supplier - Clinic/Group Practice 4587896329 Receives reassigned benefits from 2 practitioners
Practice locations: Mapleton, IA

National Provider Directory

National Provider Directory

Locations

421 Main St
Mapleton, IA 51034
Phone (712) 880-1361

Practitioners & affiliated clinicians

Practitioners 3

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": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1730519745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MAIN ST",
            "city": "MAPLETON",
            "state": "IA",
            "postal_code": "510341212",
            "telephone_number": "712-882-1977",
            "fax_number": "712-882-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MAIN ST",
            "city": "MAPLETON",
            "state": "IA",
            "postal_code": "510341212",
            "telephone_number": "712-882-1977",
            "fax_number": "712-882-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVRIES FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER /DOCTOR",
        "authorized_official_telephone_number": "712-882-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007688",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mapleton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.