Individual provider Active NPI

Gary William Parsons, D.C.

  • Chiropractor
  • Camanche, IA
National Provider Identifier
1891893970
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04299 Issued in IA
Practice address
1601 S Washington Blvd
Camanche, IA 52730-1711
Phone
(563) 259-1314
Fax
(563) 259-0852
NPI assigned
Sep 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04299 IA Primary

Addresses

Primary practice location

1601 S Washington Blvd
Camanche, IA 52730-1711

Mailing address

1601 S Washington Blvd
Camanche, IA 52730-1711
Phone (563) 259-1314

Other identifiers 2

IdentifierTypeStateIssuer
03188OtherIAWELLMARK
0031880MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000259 IA Practitioner - Chiropractic 6103810643 Reassigns benefits to 1 organization
Practice locations: Camanche, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1972
Medicare assignment
May accept Medicare assignment
Group practices
Camanche Chiropractic Center PLLCGroup PAC ID 7719327675, 2 clinicians

Practice addresses (Care Compare)

1601 S Washington Blvd
Camanche, IA 52730-1711
Phone (563) 259-1314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04299IAMDChiropractor
4299IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camanche Chiropractic Center PLLC Chiropractor CurrentSince May 1, 2024 Accepting new patients

Locations

1601 S Washington Blvd
Camanche, IA 52730
Phone (563) 259-1314

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891893970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S WASHINGTON BLVD",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527301711",
            "telephone_number": "563-259-1314",
            "fax_number": "563-259-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S WASHINGTON BLVD",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527301711",
            "telephone_number": "563-259-1314",
            "fax_number": "563-259-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "GARY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "03188",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031880",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camanche, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.