Organization Active NPI

Dirks Chiropractic Center PC

  • Chiropractor
  • Council Bluffs, IA
National Provider Identifier
1962467522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04944 Issued in IA
Legal business name
DIRKS CHIROPRACTIC CENTER PC
Practice address
1601 McPherson Ave
Council Bluffs, IA 51503
Phone
(712) 328-1625
Fax
(712) 388-0389
NPI assigned
Apr 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stanley Albert Dirks, MS DCNPI 1053461608
Title
Pres Sec Treas
Phone
(712) 328-1625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 04944 IA Primary

Addresses

Primary practice location

1601 McPherson Ave
Council Bluffs, IA 51503

Mailing address

1601 McPherson Ave
Council Bluffs, IA 51503
Phone (712) 328-1625

National Provider Directory

National Provider Directory

Locations

1601 McPherson Ave
Council Bluffs, IA 51503
Phone (712) 328-1625

1601 McPherson Ave
Ste 450
Council Bluffs, IA 51503
Phone (712) 328-1625

Practitioners & affiliated clinicians

Practitioners 2

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": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962467522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MCPHERSON AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503",
            "telephone_number": "712-328-1625",
            "fax_number": "712-388-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MCPHERSON AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503",
            "telephone_number": "712-328-1625",
            "fax_number": "712-388-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRKS CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIRKS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRES SEC TREAS",
        "authorized_official_telephone_number": "712-328-1625",
        "authorized_official_credential": "MS DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.