Organization Active NPI

Dean Family Chiropractic

  • Chiropractor
  • Clermont, IA
National Provider Identifier
1972736239
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007231 Issued in IA
Legal business name
DEAN FAMILY CHIROPRACTIC
Practice address
402 State St
Clermont, IA 52135-8662
Phone
(563) 423-5133
NPI assigned
Sep 2, 2009
Last updated
Sep 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. Jessica Dean, DCNPI 1558591214
Title
Owner
Phone
(563) 423-5133

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 007231 IA Primary

Addresses

Primary practice location

402 State St
Clermont, IA 52135-8662

Mailing address

402 State St
Clermont, IA 52135-8662
Phone (563) 423-5133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090916000195 IA Part B Supplier - Clinic/Group Practice 3375699366 Receives reassigned benefits from 1 practitioner
Practice locations: Clermont, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1972736239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 STATE ST",
            "city": "CLERMONT",
            "state": "IA",
            "postal_code": "521358662",
            "telephone_number": "563-423-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 STATE ST",
            "city": "CLERMONT",
            "state": "IA",
            "postal_code": "521358662",
            "telephone_number": "563-423-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-423-5133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.