Active NPI
Paul Richard Horst, D.C.
- Chiropractor
- Maquoketa, IA
National Provider Identifier
1922096155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A5330
- Practice address
- 123 S 2ND St
Maquoketa, IA 52060-2948 - Phone
- (563) 652-3191
- Fax
- (563) 652-7008
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A5330 | IA | Primary |
Addresses
Primary practice location
123 S 2ND St
Maquoketa, IA 52060-2948
Mailing address
123 S 2ND St
Maquoketa, IA 52060-2948
Phone (563) 652-3191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1274779 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5330 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1922096155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S 2ND ST",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "520602948",
"telephone_number": "563-652-3191",
"fax_number": "563-652-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S 2ND ST",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "520602948",
"telephone_number": "563-652-3191",
"fax_number": "563-652-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORST",
"first_name": "PAUL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A5330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1274779",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maquoketa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.