Organization Active NPI

Wayson Family Chiropractic PC

  • Chiropractor
  • Cedar Falls, IA
National Provider Identifier
1881870012
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06835 Issued in IA
Legal business name
WAYSON FAMILY CHIROPRACTIC PC
Practice address
4619 Chadwick Rd
Cedar Falls, IA 50613-8060
Phone
(319) 266-1119
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Blake J. Wayson, D.C.NPI 1952369035
Title
Owner
Phone
(319) 266-1119

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06835 IA Primary

Addresses

Primary practice location

4619 Chadwick Rd
Cedar Falls, IA 50613-8060

Mailing address

4619 Chadwick Rd
Cedar Falls, IA 50613-8060
Phone (319) 266-1119

Other identifiers 2

IdentifierTypeStateIssuer
07291OtherIABCBS
0480830MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060407000456 IA Part B Supplier - Clinic/Group Practice 4284643925 Receives reassigned benefits from 7 practitioners
Practice locations: Cedar Falls, IA

National Provider Directory

National Provider Directory

Locations

4619 Chadwick Rd
Cedar Falls, IA 50613
Phone (319) 266-1119

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1881870012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 CHADWICK RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138060",
            "telephone_number": "319-266-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 CHADWICK RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138060",
            "telephone_number": "319-266-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYSON FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "WAYSON",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-266-1119",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07291",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480830",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.