Active NPI
Pella Family Chiropractic PC
- Chiropractor
- Pella, IA
National Provider Identifier
1760630180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06257
- Legal business name
- PELLA FAMILY CHIROPRACTIC PC
- Practice address
- 703 Main St
Pella, IA 50219-1620 - Phone
- (641) 628-7240
- Fax
- (641) 613-3244
- NPI assigned
- Aug 28, 2008
- Last updated
- Aug 28, 2008
- 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
- Dr. James Punke, D.C.
- Title
- President
- Phone
- (641) 628-7240
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06257 | IA | Primary |
Addresses
Primary practice location
703 Main St
Pella, IA 50219-1620
Mailing address
703 Main St
Pella, IA 50219-1620
Phone (641) 628-7240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0205294 | Medicaid | IA | |
| 15740 | Other | IA | WELLMARK BCBS |
National Provider Directory
National Provider DirectoryLocations
703 Main St
Pella, IA 50219
Phone (641) 628-7240
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.
-
- Chiropractor
- Pella, IA
- NPI 1831177351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219881600000",
"number": "1760630180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191620",
"telephone_number": "641-628-7240",
"fax_number": "641-613-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191620",
"telephone_number": "641-628-7240",
"fax_number": "641-613-3244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PELLA FAMILY CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-28",
"last_updated": "2008-08-28",
"status": "A",
"authorized_official_last_name": "PUNKE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "641-628-7240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0205294",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "15740",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pella, IA
- Luke B Pavlat
- Whitney Pavlat, ATS
- Pella Community Ambulance Service
- Pella Counseling PLC
- Pella CSD
- Pella Health & Fitness PC
- Pella Imaging Consultants, Inc
- Pella Regional Health Center (Pella Medical Clinic)
- Pella Regional Health Center (Hospice of Pella, The Comfort House)
- Pella Regional Health Center (Pella Regional Home Health Agency)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.