Organization Active NPI

Fairfax Chiropractic Center PLLC

  • Chiropractor
  • Fairfax, IA
National Provider Identifier
1740517978
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7208 Issued in IA
Legal business name
FAIRFAX CHIROPRACTIC CENTER PLLC
Practice address
324 80TH St CT
Fairfax, IA 52228-9540
Phone
(319) 845-2300
Fax
(319) 845-2302
NPI assigned
Nov 9, 2009
Last updated
Nov 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Dr. Tavis O Garringer, DCNPI 1659557031
Title
Member/Manager
Phone
(319) 845-2300

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
Chiropractor 111N00000X 7208 IA Primary

Addresses

Primary practice location

324 80TH St CT
Fairfax, IA 52228-9540

Mailing address

324 80TH St CT
Fairfax, IA 52228-9540
Phone (319) 845-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091104000600 IA Part B Supplier - Clinic/Group Practice 4981742384 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, IA

National Provider Directory

National Provider Directory

Locations

324 80th Street Ct
Fairfax, IA 52228
Phone (319) 845-2300

411 Creek Side Dr
Fairfax, IA 52228
Phone (319) 845-2300

Interoperability endpoints

  • Direct secure messaging: tavisg1@fccp0003.direct.chirotouch.md

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1740517978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 80TH ST CT",
            "city": "FAIRFAX",
            "state": "IA",
            "postal_code": "522289540",
            "telephone_number": "319-845-2300",
            "fax_number": "319-845-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 80TH ST CT",
            "city": "FAIRFAX",
            "state": "IA",
            "postal_code": "522289540",
            "telephone_number": "319-845-2300",
            "fax_number": "319-845-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "GARRINGER",
        "authorized_official_first_name": "TAVIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "319-845-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "7208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.