319 Sport and Spine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

319 SPORT AND SPINE LLC

Doing business as

319 Sport and Spine

Practice address

2000 Swan Lake Blvd Ste 2
Independence, IA 50644-2743

Phone

(319) 327-4416

NPI assigned

Jan 11, 2023

Last updated

May 3, 2023By 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. Cameron D Hayward, DCNPI 1952856387

Title

Owner

Phone

(319) 327-4416

Specialties & licenses 1

Addresses

Other names 1

• 319 Sport and Spine Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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.

• Cameron Hayward

  • Chiropractor
  • Waterloo, IA
  • NPI 1952856387
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1881308013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SWAN LAKE BLVD STE 2",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506442743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SWAN LAKE BLVD STE 2",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506442743",
            "telephone_number": "319-327-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "319 SPORT AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-327-4416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "319 Sport and Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "319 Sport and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abcm Corporation
• Abcm Corporation (ABCM Rehabilitation Centers of Independence, West Campus)
• Abcm Corporation (ABCM Rehabilitation Centers of Independence, East Campus)
• Jeanne Marie Adams, PHARM D
• Cortney Lynn Alber, LISW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.