Bluffs Family Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007519 Issued in IA

Legal business name

BLUFFS FAMILY CHIROPRACTIC, P.C.

Practice address

303 McKenzie Ave
Council Bluffs, IA 51503-1017

Phone

(308) 440-2973

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ty Thomas Dworak, D.C.NPI 1437397593

Title

Owner

Phone

(308) 440-2973

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ty Thomas Dworak, D.C.

  • Chiropractor
  • Kearney, NE
  • NPI 1437397593

  IA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1891060109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MCKENZIE AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MCKENZIE AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031017",
            "telephone_number": "308-440-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFS FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "DWORAK",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-440-2973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025718500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindy Blair
• Scott D Blair, M.D.
• Elizabeth Blanke
• Helen Jackson Bleicher, LMHC
• Bluejay Family Dental PC
• Bluffs Family Health Care PC
• Bluffs Foot Clinic, Inc.
• Bluffs Imaging Associates
• Bluffs OBGYN and Incontinence Ctr
• Bluffs Pain Management LLC

• Chiropractor in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.