Organization Active NPI

Sunrise Chiropractic

  • Chiropractor
  • Boone, IA
National Provider Identifier
1780979450
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007002 Issued in IA
Legal business name
SUNRISE CHIROPRACTIC
Practice address
813 Keeler St
Boone, IA 50036-2729
Phone
(515) 433-0101
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Dr. Jennifer Lea Wojcik, D.C.NPI 1710175708
Title
Chiropractor
Phone
(515) 433-0101

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007002 IA Primary

Addresses

Primary practice location

813 Keeler St
Boone, IA 50036-2729

Mailing address

813 Keeler St
PO Box 632
Boone, IA 50036-2729
Phone (515) 433-0101

Other names 1

  • Body Balance Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

813 Keeler St
Boone, IA 50036
Phone (515) 230-2274

Practitioners & affiliated clinicians

Practitioners 1

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": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1780979450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 KEELER ST",
            "address_2": "PO BOX 632",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500362729",
            "telephone_number": "515-433-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 KEELER ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500362729",
            "telephone_number": "515-433-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "WOJCIK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "515-433-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Balance Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boone, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.