Summit Chiropractic Centers, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SUMMIT CHIROPRACTIC CENTERS, PC

Practice address

40 Brookeridge Dr
Waterloo, IA 50701-5214

Phone

(319) 232-2100

Fax

(319) 232-6389

NPI assigned

Jul 2, 2012

Organization subpart

No

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

Authorized official

Name

Suzy Duwe

Title

Office Manager

Phone

(319) 827-2223

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rottinghaus Chiropractic Centers, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew L Jolley, D.C.

  • Chiropractor
  • Waterloo, IA
  • NPI 1265433502
  Medicare reassignment Care Compare group NPD
• Daniel P McGrane, MPT

  • Physical Therapist
  • Waterloo, IA
  • NPI 1528238342
  Medicare reassignment Care Compare group NPD
• Eric M Rottinghaus, DC

  • Chiropractor
  • Waterloo, IA
  • NPI 1083601322
  Medicare reassignment Care Compare group NPD
• Vinko M Bogdanic, M.D.

  • Internal Medicine Physician
  • Waterloo, IA
  • NPI 1932184249
  NPD (past)
• Herbert X Smith, MD

  • Emergency Medicine Physician
  • MC Minnville, TN
  • NPI 1750321758
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982968152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BROOKERIDGE DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015214",
            "telephone_number": "319-232-2100",
            "fax_number": "319-232-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BROOKERIDGE DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015214",
            "telephone_number": "319-232-2100",
            "fax_number": "319-232-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUWE",
        "authorized_official_first_name": "SUZY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-827-2223"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "27649",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1258087",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rottinghaus Chiropractic Centers, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rottinghaus Chiropractic Centers, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melissa Gail Sudol
• Jeffrey Anthony Sugandi, M.D.
• Mark Suiter, PT
• Kelsey Mae Sukovaty, DPM
• Kerry Renee Sullivan, LMHC, RPT
• Kalyana Sundaram, MD
• Sunny'S Transport LLC
• Murali Krishna Surnedi, MD
• Jeffrey J Sutton, MD
• Kameron Douglas Sutton

• Chiropractor in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.