Organization Active NPI

Midwest Spine Center

  • Clinic/Center
  • Fort Dodge, IA
National Provider Identifier
1750412318
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AO5814 Issued in IA
Legal business name
MIDWEST SPINE CENTER
Practice address
705 N 15TH St
Fort Dodge, IA 50501-3344
Phone
(515) 576-1176
Fax
(515) 573-5295
NPI assigned
Mar 8, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Ben Rogers, D.C.
Title
Owner
Phone
(515) 576-1176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AO5814 IA Primary

Addresses

Primary practice location

705 N 15TH St
Fort Dodge, IA 50501-3344

Mailing address

705 N 15TH St
Fort Dodge, IA 50501-3344
Phone (515) 576-1176

Other identifiers 1

IdentifierTypeStateIssuer
0425488MedicaidIA

Other names 1

  • Rogers Chiropractic Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

705 N 15th St
Fort Dodge, IA 50501
Phone (515) 576-1176

Practitioners & affiliated clinicians

Practitioners 4

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1750412318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N 15TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013344",
            "telephone_number": "515-576-1176",
            "fax_number": "515-573-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N 15TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013344",
            "telephone_number": "515-576-1176",
            "fax_number": "515-573-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-576-1176",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "AO5814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0425488",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.