Healthsource of Armstrong, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06502 Issued in IA

Legal business name

HEALTHSOURCE OF ARMSTRONG, PC

Practice address

606 2ND Ave
Armstrong, IA 50514-7420

Phone

(712) 868-4404

Fax

(712) 864-3646

NPI assigned

May 4, 2009

Organization subpart

No

Name

Jessica M Rezac

Title

Office Manager

Phone

(712) 868-4404

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

• Cory David Rezac, DC

  • Chiropractor
  • Armstrong, IA
  • NPI 1689639551
  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2009.

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1881828077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 2ND AVE",
            "city": "ARMSTRONG",
            "state": "IA",
            "postal_code": "505147420",
            "telephone_number": "712-868-4404",
            "fax_number": "712-864-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 2ND AVE",
            "city": "ARMSTRONG",
            "state": "IA",
            "postal_code": "505147420",
            "telephone_number": "712-868-4404",
            "fax_number": "712-864-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF ARMSTRONG, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "REZAC",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-868-4404"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armstrong Ia Skilled Nursing Facility, LLC
• Armstrong-Ringsted C.S.D.
• Logan Evans, RN
• Fairmont Orthopedics & Sports Medicine P a
• Dalton Michael Frick
• Kasson Drug Inc
• Mariah Marie Martin, LMT
• North Union Community School District
• Oleson Chiropractic, Inc
• Greg E Oleson, D.C.

• All providers in Armstrong, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.