NPIMap

Organization Active NPI

Collins Road Chiropractic Inc

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1932211935
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4597 Issued in IA
Legal business name
COLLINS ROAD CHIROPRACTIC INC
Practice address
375 Collins Rd NE
Suite 22
Cedar Rapids, IA 52402-3168
Phone
(319) 395-9897
Fax
(319) 395-9891
NPI assigned
Aug 31, 2006
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Aaron J Meyer, DCNPI 1609899905
Title
Owner
Phone
(319) 395-9897

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
Chiropractor 111N00000X 4597 IA Primary

Addresses

Primary practice location

375 Collins Rd NE
Suite 22
Cedar Rapids, IA 52402-3168

Mailing address

375 Collins Rd NE
Suite 22
Cedar Rapids, IA 52402-3168
Phone (319) 395-9897

Other identifiers 1

IdentifierTypeStateIssuer
0149013MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405000966 IA Part B Supplier - Clinic/Group Practice 8022001221 Receives reassigned benefits from 2 practitioners
Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1932211935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 COLLINS RD NE",
            "address_2": "SUITE 22",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023168",
            "telephone_number": "319-395-9897",
            "fax_number": "319-395-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 COLLINS RD NE",
            "address_2": "SUITE 22",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023168",
            "telephone_number": "319-395-9897",
            "fax_number": "319-395-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS ROAD CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-395-9897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "4597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149013",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.