Individual provider Active NPI

Michael J Humpal, DC

  • Chiropractor
  • North Liberty, IA
National Provider Identifier
1730693169
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
089285 Issued in IA
Practice address
1295 Jordan St Ste 6B
North Liberty, IA 52317-8020
Phone
(319) 430-7892
NPI assigned
Nov 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 089285 IA Primary

Addresses

Primary practice location

1295 Jordan St Ste 6B
North Liberty, IA 52317-8020

Mailing address

1210 Jordan St Ste 2a
North Liberty, IA 52317-8031
Phone (319) 325-3558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171221001274 IA Practitioner - Chiropractic 6305104324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humpal Chiropractic, LLCGroup PAC ID 5496013419, 4 clinicians

Practice addresses (Care Compare)

1210 Jordan St
Suite 2a
North Liberty, IA 52317-8031
Phone (319) 325-3558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089285IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Humpal Chiropractic, LLC CurrentSince Nov 22, 2017 Accepting new patients

Locations

1295 Jordan St
Ste 6B
North Liberty, IA 52317
Phone (319) 325-3558

1210 Jordan St
Ste 2
North Liberty, IA 52317

1210 Jordan St
Ste 2A
North Liberty, IA 52317
Phone (319) 325-3558

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1730693169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 JORDAN ST STE 2A",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178031",
            "telephone_number": "319-325-3558",
            "fax_number": "888-429-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 JORDAN ST STE 6B",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178020",
            "telephone_number": "319-430-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPAL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-21",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "089285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.