Individual provider Active NPI

Conrad Laten Bush, DC

  • Chiropractor
  • Cedar Falls, IA
National Provider Identifier
1922649060
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
098280 Issued in IA
Practice address
1001 Hudson Rd Ste a
Cedar Falls, IA 50613-2304
Phone
(319) 277-5616
Fax
(319) 277-0355
NPI assigned
Sep 30, 2019
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 098280 IA Primary

Addresses

Primary practice location

1001 Hudson Rd Ste a
Cedar Falls, IA 50613-2304

Mailing address

1001 Hudson Rd Ste a
Cedar Falls, IA 50613-2304
Phone (319) 277-5616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200221000177 IA Practitioner - Chiropractic 8820425473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schofield Chiropractic PCGroup PAC ID 9931152329, 5 clinicians

Practice addresses (Care Compare)

1001 Hudson Rd
Suite a
Cedar Falls, IA 50613-2304
Phone (319) 277-5616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schofield Chiropractic PC Chiropractor CurrentSince Sep 27, 2021 Accepting new patients
Wolf Hearing Care PLC PastSince Sep 27, 2021 Accepting new patients

Locations

1001 Hudson Rd
Ste A
Cedar Falls, IA 50613
Phone (319) 260-2155

Organizations & group practices 2

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1922649060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HUDSON RD STE A",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132304",
            "telephone_number": "319-277-5616",
            "fax_number": "319-277-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HUDSON RD STE A",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132304",
            "telephone_number": "319-277-5616",
            "fax_number": "319-277-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "CONRAD",
        "middle_name": "LATEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "098280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.