Organization Active NPI

Humpal Chiropractic, LLC

  • Health Service Clinic/Center
  • North Liberty, IA
National Provider Identifier
1992219323
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
089285 Issued in IA
Legal business name
HUMPAL CHIROPRACTIC, LLC
Practice address
1210 Jordan St Ste 2a
North Liberty, IA 52317-8031
Phone
(319) 325-3558
Fax
(888) 429-0451
NPI assigned
Nov 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Dr. Michael J Humpal, DCNPI 1730693169
Title
Owner
Phone
(319) 430-7892

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
Health Service Clinic/Center 261QH0100X 089285 IA Primary

Addresses

Primary practice location

1210 Jordan St Ste 2a
North Liberty, IA 52317-8031

Mailing address

1210 Jordan St Ste 2a
North Liberty, IA 52317-8031
Phone (319) 325-3558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171221001100 IA Part B Supplier - Clinic/Group Practice 5496013419 Receives reassigned benefits from 7 practitioners
Practice locations: North Liberty, IA

National Provider Directory

National Provider Directory

Locations

1210 Jordan St
Ste 2A
North Liberty, IA 52317
Phone (319) 325-3558

1210 Jordan St
Ste 2
North Liberty, IA 52317

1295 Jordan St
Ste 6B
North Liberty, IA 52317
Phone (319) 325-3558

Practitioners & affiliated clinicians

Practitioners 7

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": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1992219323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 JORDAN ST STE 2A",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178031",
            "telephone_number": "319-325-3558",
            "fax_number": "888-429-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 JORDAN ST STE 2A",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178031",
            "telephone_number": "319-325-3558",
            "fax_number": "888-429-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMPAL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "HUMPAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-430-7892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IA",
            "license": "089285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.