Organization Active NPI

Core Chiropractic Center PC

  • Chiropractor
  • Sioux Center, IA
National Provider Identifier
1922750132
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORE CHIROPRACTIC CENTER PC
Practice address
1236 S Main Ave
Sioux Center, IA 51250-1230
Phone
(712) 722-2965
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Dr. Drew Robert Ebel, DCNPI 1790143220
Title
Chiropractor
Phone
(712) 441-6339

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 Primary

Addresses

Primary practice location

1236 S Main Ave
Sioux Center, IA 51250-1230

Mailing address

1236 S Main Ave # 105
Sioux Center, IA 51250-1230
Phone (712) 441-6339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220208000688 IA Part B Supplier - Clinic/Group Practice 7315330727 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Center, IA

National Provider Directory

National Provider Directory

Locations

1236 S Main Ave
Sioux Center, IA 51250
Phone (712) 441-6339

1236 S Main Ave
#105
Sioux Center, IA 51250

Practitioners & affiliated clinicians

Practitioners 2

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": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1922750132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 S MAIN AVE # 105",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501230",
            "telephone_number": "712-441-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 S MAIN AVE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501230",
            "telephone_number": "712-722-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-02-07",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "EBEL",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "712-441-6339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Center, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.