Active NPI
River Valley Chiropractic PLC
- Chiropractor
- Cedar Rapids, IA
National Provider Identifier
1760444053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06553
- Legal business name
- RIVER VALLEY CHIROPRACTIC PLC
- Practice address
- 1435 31St St NE
Ste 3
Cedar Rapids, IA 52402 - Phone
- (319) 261-1999
- Fax
- (319) 261-0608
- NPI assigned
- Apr 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kent Matthew Miskimen, DC
- Title
- Owner President
- Phone
- (319) 261-1999
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06553 | IA | Primary |
Addresses
Primary practice location
1435 31St St NE
Ste 3
Cedar Rapids, IA 52402
Mailing address
1435 31St St NE
Ste 3
Cedar Rapids, IA 52402
Phone (319) 261-1999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31512 | Other | IA | WELLMARK BCBS OF IOWA |
| 241747 | Other | IA | MIDLANDS CHOICE |
| 0276477 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1435 31st St NE
Ste 3
Cedar Rapids, IA 52402
Phone (319) 261-1999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Cedar Rapids, IA
- NPI 1598873416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320192000000",
"number": "1760444053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 31ST ST NE",
"address_2": "STE 3",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52402",
"telephone_number": "319-261-1999",
"fax_number": "319-261-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 31ST ST NE",
"address_2": "STE 3",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52402",
"telephone_number": "319-261-1999",
"fax_number": "319-261-0608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER VALLEY CHIROPRACTIC PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-04",
"last_updated": "2011-11-02",
"status": "A",
"authorized_official_last_name": "MISKIMEN",
"authorized_official_first_name": "KENT",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "319-261-1999",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "06553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS OF IOWA",
"identifier": "31512",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "241747",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0276477",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.