Organization Active NPI

Nodaway Family Chiropractic, P.C.

  • Chiropractor
  • Clarinda, IA
National Provider Identifier
1902067283
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007089 Issued in IA
Legal business name
NODAWAY FAMILY CHIROPRACTIC, P.C.
Practice address
121 E Stuart St
Clarinda, IA 51632-2113
Phone
(712) 542-4040
Fax
(712) 542-4020
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. Rosanne R Cavin, D.C.NPI 1457512097
Title
Owner
Phone
(712) 542-7553

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 007089 IA Primary

Addresses

Primary practice location

121 E Stuart St
Clarinda, IA 51632-2113

Mailing address

121 E Stuart St
Clarinda, IA 51632-2113
Phone (712) 542-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080904000670 IA Part B Supplier - Clinic/Group Practice 0648346221 Receives reassigned benefits from 1 practitioner
Practice locations: Clarinda, IA

National Provider Directory

National Provider Directory

Locations

121 E Stuart St
Clarinda, IA 51632
Phone (712) 542-4040

Practitioners & affiliated clinicians

Practitioners 1

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": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1902067283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E STUART ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322113",
            "telephone_number": "712-542-4040",
            "fax_number": "712-542-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E STUART ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322113",
            "telephone_number": "712-542-4040",
            "fax_number": "712-542-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NODAWAY FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "CAVIN",
        "authorized_official_first_name": "ROSANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-542-7553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.