Organization Active NPI

Eastern Iowa Chiropractic Centre, PC

  • Chiropractor
  • Washington, IA
National Provider Identifier
1841301892
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05625 Issued in IA
Legal business name
EASTERN IOWA CHIROPRACTIC CENTRE, PC
Practice address
112 E Washington St
Washington, IA 52353-2023
Phone
(319) 653-6000
Fax
(319) 653-6115
NPI assigned
Aug 31, 2006
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Todd Lynn Salow, DCNPI 1689896532
Title
President
Phone
(319) 653-6000

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
Chiropractor 111N00000X A05625 IA Primary

Addresses

Primary practice location

112 E Washington St
Washington, IA 52353-2023

Mailing address

112 E Washington St
Washington, IA 52353-2023
Phone (319) 653-6000

Other identifiers 2

IdentifierTypeStateIssuer
09744OtherIAWELLMARK FOR DR WEBER
10251OtherIAWELLMARK FOR DR SALOW

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050418000942 IA Part B Supplier - Clinic/Group Practice 0345288718 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, IA

National Provider Directory

National Provider Directory

Locations

112 E Washington St
Washington, IA 52353
Phone (319) 653-6000

112 E Washington St
#C
Washington, IA 52353
Phone (319) 653-6000

Practitioners & affiliated clinicians

Practitioners 4

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1841301892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E WASHINGTON ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523532023",
            "telephone_number": "319-653-6000",
            "fax_number": "319-653-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E WASHINGTON ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523532023",
            "telephone_number": "319-653-6000",
            "fax_number": "319-653-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN IOWA CHIROPRACTIC CENTRE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "SALOW",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-653-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK FOR DR WEBER",
            "identifier": "09744",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK FOR DR SALOW",
            "identifier": "10251",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.