Integrated Muscle & Spine Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06572 Issued in IA

Legal business name

INTEGRATED MUSCLE & SPINE CHIROPRACTIC CLINIC INC

Practice address

1608 S 19TH St
Clinton, IA 52732-6702

Phone

(563) 242-2002

Fax

(563) 242-0889

NPI assigned

Apr 28, 2017

Last updated

Jul 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kortni D. Richards, DC

Title

Owner

Phone

(563) 242-2002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 6

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.

• Kortni Danielle Smith, DC

  • Chiropractor
  • Clinton, IA
  • NPI 1538765508
  Medicare reassignment NPD
• Paul Matthew Endriss, D.C.

  • Chiropractor
  • Clinton, IA
  • NPI 1891069241
  NPD (past)
• Daniel Clark Johnson, DC

  • Chiropractor
  • Clinton, IA
  • NPI 1831427251
  NPD (past)
• Todd M Slattery, D.C.

  • Chiropractor
  • Clinton, IA
  • NPI 1245236751
  NPD (past)
• Christopher Gene Dinning, D.C.

  • Chiropractor
  • Mount Carroll, IL
  • NPI 1043207673
  NPD (past)
• Ryan Gregory Vermeesch, DC

  • Chiropractor
  • Elverson, PA
  • NPI 1558703447
  NPD (past)

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1881129708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 S 19TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326702",
            "telephone_number": "563-242-2002",
            "fax_number": "563-242-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 S 19TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326702",
            "telephone_number": "563-242-2002",
            "fax_number": "563-242-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MUSCLE & SPINE CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "KORTNI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-242-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Clinton, IA
• Providers in Clinton, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.