Dean Family Chiropractic
Organization Active NPI Chiropractor · Clermont, IA
NPI 1972736239 · NPPES record last updated Sep 2, 2009
Key facts
- NPI
- 1972736239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 007231 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Jessica Dean, DC
- Title
- Owner
- Phone
- (563) 423-5133
Practitioners 1
-
Jessica Dean, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090916000195 | IA | Part B Supplier - Clinic/Group Practice | 3375699366 |
Receives reassigned benefits from 1 practitioner Practice locations: Clermont, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 007231 | IA | Yes |
Addresses
Primary practice location
402 State St
Clermont, IA 52135-8662
Mailing address
402 State St
Clermont, IA 52135-8662
Phone (563) 423-5133
Other providers in Clermont, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.