Active Family Chiropractic & Wellness, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007074 Issued in IA

Legal business name

ACTIVE FAMILY CHIROPRACTIC & WELLNESS, P.C.

Practice address

1036 E Court St
Iowa City, IA 52240-3214

Phone

(515) 231-7499

NPI assigned

Jan 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Colby T. Nelson, D.C.

Title

President

Phone

(515) 231-7499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264291200000",
    "number": "1972834448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 EP TRUE PKWY",
            "address_2": "SUITE 103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 E COURT ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403214",
            "telephone_number": "515-231-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE FAMILY CHIROPRACTIC & WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-24",
        "last_updated": "2010-01-24",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "COLBY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-231-7499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2010; 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.