Organization Active NPI

Chiropractic Physiotherapy Clinic LLC

  • Chiropractor
  • WDM, IA
National Provider Identifier
1780912410
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007148 Issued in IA
Legal business name
CHIROPRACTIC PHYSIOTHERAPY CLINIC LLC
Practice address
1701 22ND St
Suite 105
WDM, IA 50266-1443
Phone
(515) 224-1001
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Dr. Lindsey Calvert, D.C.
Title
Owner
Phone
(515) 224-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007148 IA Primary

Addresses

Primary practice location

1701 22ND St
Suite 105
WDM, IA 50266-1443

Mailing address

1701 22ND St
Suite 105
WDM, IA 50266-1443
Phone (515) 224-1001

National Provider Directory

National Provider Directory

Locations

4949 Pleasant St
Ste 101
West Des Moines, IA 50266
Phone (515) 306-6852

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1780912410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 22ND ST",
            "address_2": "SUITE 105",
            "city": "WDM",
            "state": "IA",
            "postal_code": "502661443",
            "telephone_number": "515-224-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 22ND ST",
            "address_2": "SUITE 105",
            "city": "WDM",
            "state": "IA",
            "postal_code": "502661443",
            "telephone_number": "515-224-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PHYSIOTHERAPY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "CALVERT",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-224-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in WDM, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.