Dewitt Family Chiropractic PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

078815 Issued in IA

Legal business name

DEWITT FAMILY CHIROPRACTIC PC

Practice address

4245 1St Ave SE
Cedar Rapids, IA 52402-3169

Phone

(319) 329-5946

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Travis Dewitt, D.C.NPI 1578949137

Title

Owner/Chiropractor

Phone

(319) 329-5946

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

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

• Travis Dewitt, D.C.

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1578949137
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Dewitt, D.C.

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1801331616
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1902274202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 1ST AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023169",
            "telephone_number": "319-329-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 1ST AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023169",
            "telephone_number": "319-329-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "319-329-5946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "078815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Clinic of Iowa PC
• Kristi Ann Derycke
• Kandis Despain
• Madelyn Deutsch
• Arthur William Devine Jr., MD
• Nicole Dewitt, D.C.
• Travis Dewitt, D.C.
• Amandeep Singh Dhaliwal, M.D.
• Madeline Dickson
• Evan James Diehl, M.D.

• Clinic/Center in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.