Organization Active NPI

Merritt Family Chiropractic, P.C.

  • Chiropractor
  • Cascade, IA
National Provider Identifier
1992916779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05809 Issued in IA
Legal business name
MERRITT FAMILY CHIROPRACTIC, P.C.
Practice address
120 Monroe Strret SE
Cascade, IA 52033
Phone
(563) 852-5060
Fax
(563) 852-7889
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael John Merritt, D.C.NPI 1366503567
Title
Owner
Phone
(563) 852-5060

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05809 IA Primary

Addresses

Primary practice location

120 Monroe Strret SE
Cascade, IA 52033

Mailing address

120 Monroe Strret SE
PO Box 366
Cascade, IA 52033
Phone (563) 852-5060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914000757 IA Part B Supplier - Clinic/Group Practice 5496788093 Receives reassigned benefits from 1 practitioner
Practice locations: Cascade, IA

National Provider Directory

National Provider Directory

Locations

120 Monroe St SE
Cascade, IA 52033
Phone (563) 852-5060

Practitioners & affiliated clinicians

Practitioners 3

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992916779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MONROE STRRET SE",
            "address_2": "PO BOX 366",
            "city": "CASCADE",
            "state": "IA",
            "postal_code": "52033",
            "telephone_number": "563-852-5060",
            "fax_number": "563-852-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MONROE STRRET SE",
            "city": "CASCADE",
            "state": "IA",
            "postal_code": "52033",
            "telephone_number": "563-852-5060",
            "fax_number": "563-852-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-852-5060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cascade, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.