Cedar Ridge Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

087621 Issued in IA

Legal business name

CEDAR RIDGE FAMILY CHIROPRACTIC

Practice address

4515 Lewis Access Rd
Suite 700
Center Point, IA 52213-5221

Phone

(319) 540-4002

Fax

(319) 540-4002

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Alyssa Marie Newman, DCNPI 1144743014

Title

Chiropractor

Phone

(319) 540-4002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

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

• Alyssa Newman, DC

  • Chiropractor
  • Center Point, IA
  • NPI 1144743014
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1922521798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 56TH STREET TRL",
            "city": "CENTER POINT",
            "state": "IA",
            "postal_code": "522139267",
            "telephone_number": "319-540-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 LEWIS ACCESS RD",
            "address_2": "SUITE 700",
            "city": "CENTER POINT",
            "state": "IA",
            "postal_code": "522135221",
            "telephone_number": "319-540-4002",
            "fax_number": "319-540-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIDGE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "319-540-4002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "087621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Nels Andersen, DDS
• Kelly Thomas Bonar, DC
• Center Point Ambulance Service Inc
• Center Point Chiropractic PC
• Center Point Family Dentistry PLLC
• Center Point-Urbana CSD
• Central City Family Pharmacy, Inc.

• All providers in Center Point, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.