State Center Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007449 Issued in IA

Legal business name

STATE CENTER CHIROPRACTIC, LLC

Practice address

114 Main St W
State Center, IA 50247-7777

Phone

(641) 483-3051

Fax

(641) 483-3052

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Brandi Sparks, D.C.NPI 1346571254

Title

Chiropractor

Phone

(641) 895-0980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

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

• Brandi L Sparks, D.C.

  • Chiropractor
  • State Center, IA
  • NPI 1346571254
  Medicare reassignment NPD Authorized official
• Shane Patrick Bradley, DC

  • Chiropractor
  • Van Meter, IA
  • NPI 1679782171
  NPD (past)

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1831554161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "STATE CENTER",
            "state": "IA",
            "postal_code": "502470073",
            "telephone_number": "641-483-3051",
            "fax_number": "641-483-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MAIN ST W",
            "city": "STATE CENTER",
            "state": "IA",
            "postal_code": "502477777",
            "telephone_number": "641-483-3051",
            "fax_number": "641-483-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE CENTER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "641-895-0980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylie A Clatt
• Amanda Michelle Konz, ARNP
• MMSC Ventures Inc
• Luke Pinnick
• Brandi L Sparks, D.C.
• Ronald C. Terrill, M.D.
• Town of State Center
• Unitypoint Health - Marshalltown
• West Marshall Community School District

• Chiropractor in State Center, IA
• Providers in State Center, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.