Core Family Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CORE FAMILY CHIROPRACTIC PLLC

Practice address

4505 Algonquin Dr Ste C
Cedar Falls, IA 50613-1219

Phone

(319) 553-6241

Fax

(319) 553-6242

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Johannsen, DC

Title

Owner

Phone

(319) 553-6241

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1770168429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 ALGONQUIN DR STE C",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506131219",
            "telephone_number": "319-553-6241",
            "fax_number": "319-553-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 ALGONQUIN DR STE C",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506131219",
            "telephone_number": "319-553-6241",
            "fax_number": "319-553-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "JOHANNSEN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-553-6241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.