Organization Active NPI

Welsh Chiropractic Clinic PC

  • Chiropractor
  • Northwood, IA
National Provider Identifier
1740445527
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5065 Issued in IA
Legal business name
WELSH CHIROPRACTIC CLINIC PC
Practice address
104 4TH St S
Northwood, IA 50459-1908
Phone
(641) 324-1626
Fax
(641) 324-1626
NPI assigned
Jul 22, 2008
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. James William Welsh
Title
Owner/Chiropractor
Phone
(641) 324-1626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 5065 IA Primary

Addresses

Primary practice location

104 4TH St S
Northwood, IA 50459-1908

Mailing address

104 4TH St S
Northwood, IA 50459-1908
Phone (641) 324-1626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080728000119 IA Part B Supplier - Clinic/Group Practice 5294808069 Practice locations: Northwood, IA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1740445527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 4TH ST S",
            "city": "NORTHWOOD",
            "state": "IA",
            "postal_code": "504591908",
            "telephone_number": "641-324-1626",
            "fax_number": "641-324-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 4TH ST S",
            "city": "NORTHWOOD",
            "state": "IA",
            "postal_code": "504591908",
            "telephone_number": "641-324-1626",
            "fax_number": "641-324-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELSH CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "WELSH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "641-324-1626",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "5065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northwood, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.