Christopher Glenn Jacobi, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007393 Issued in IA

Practice address

1714 5TH St
Suite #4
Coralville, IA 52241-1838

Phone

(612) 875-6200

NPI assigned

Apr 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Humpal Chiropractic, LLCGroup PAC ID 5496013419, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Humpal Chiropractic, LLC

  • Health Service Clinic/Center
  • North Liberty, IA
  • NPI 1992219323
  Medicare reassignment Care Compare group NPD
• Family Chiropractic of the 4 States PC

  • Chiropractor
  • Joplin, MO
  • NPI 1285437632
  NPD

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1881984185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 5TH ST",
            "address_2": "SUITE #4",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411838",
            "telephone_number": "612-875-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 5TH ST",
            "address_2": "SUITE #4",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411838",
            "telephone_number": "612-875-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "CHRISTOPHER",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iowa Pediatric Dental Center
• Carolina Isleib, LMSW
• Julie Anne Iverson, PHARMD
• Alysha Renee Izoco, RD, LD
• Jessica Jackson
• Landon Jacobs
• Sarah J Jacobs, LMSW
• Deepika Jaiswal, DDS, MDS
• Madeline Hunsicker James
• Morgan Jean Jansen, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.