Organization Active NPI

Byerly Chiropractic Clinic PLC

  • Chiropractor
  • Osceola, IA
National Provider Identifier
1790859890
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06406 Issued in IA
Legal business name
BYERLY CHIROPRACTIC CLINIC PLC
Practice address
322 S Delaware St
Ste 100
Osceola, IA 50213-1548
Phone
(641) 342-3018
NPI assigned
Nov 20, 2006
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Jami Dawn Byerly, D.C.
Title
President
Phone
(641) 342-3018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06406 IA Primary

Addresses

Primary practice location

322 S Delaware St
Ste 100
Osceola, IA 50213-1548

Mailing address

322 S Delaware St
Ste 100
Osceola, IA 50213-1548
Phone (641) 342-3018

Other identifiers 1

IdentifierTypeStateIssuer
1231688MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070118000056 IA Part B Supplier - Clinic/Group Practice 6901807924 Receives reassigned benefits from 1 practitioner
Practice locations: Osceola, IA

National Provider Directory

National Provider Directory

Locations

322 S Delaware St
Ste 100
Osceola, IA 50213
Phone (641) 342-3018

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1790859890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S DELAWARE ST",
            "address_2": "STE 100",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131548",
            "telephone_number": "641-342-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S DELAWARE ST",
            "address_2": "STE 100",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131548",
            "telephone_number": "641-342-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYERLY CHIROPRACTIC CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "BYERLY",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-342-3018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1231688",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.

Verify at the official NPI Registry.