Organization Active NPI

Total Care Chiropractic LTD

  • Chiropractor
  • Council Bluffs, IA
National Provider Identifier
1962533166
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06689 Issued in IA
Legal business name
TOTAL CARE CHIROPRACTIC LTD
Practice address
40 Arena Way
Ste 1
Council Bluffs, IA 51501-7062
Phone
(712) 323-1089
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Denise Woods, DCNPI 1487625901
Title
President
Phone
(712) 329-1863

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 06689 IA Primary

Addresses

Primary practice location

40 Arena Way
Ste 1
Council Bluffs, IA 51501-7062

Mailing address

40 Arena Way
Ste 1
Council Bluffs, IA 51501-7062
Phone (712) 323-1089

Other identifiers 1

IdentifierTypeStateIssuer
0455220MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040831001475 IA Part B Supplier - Clinic/Group Practice 9537134663 Receives reassigned benefits from 1 practitioner
Practice locations: Council Bluffs, IA

National Provider Directory

National Provider Directory

Locations

40 Arena Way
Council Bluffs, IA 51501
Phone (402) 301-3069

40 Arena Way
Ste 1
Council Bluffs, IA 51501
Phone (712) 323-1089

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1962533166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ARENA WAY",
            "address_2": "STE 1",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017062",
            "telephone_number": "712-323-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ARENA WAY",
            "address_2": "STE 1",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017062",
            "telephone_number": "712-323-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-329-1863",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0455220",
            "state": "IA"
        }
    ],
    "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 Jan 17, 2013; 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.