FOUNTAIN CHIROPRACTIC CLINIC, INC. (NPI# 1447508015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447508015 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN CHIROPRACTIC CLINIC, INC. |
| Practice Address |
2728 Asbury Rd. Suite 920 Dubuque IA 52001-2970 |
| Practice Telephone | 5635825185 |
| Practice Fax Number | 5635823075 |
| Mailing Telephone | 5635825185 |
| Mailing Fax Number | 5635823075 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| Authorized Official Name | DR. LEE JOSEPH SMITH (OWNER) |
| Authorized Official Telephone | 5635825185 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 06478 | IA | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FOUNTAIN CHIROPRACTIC CLINIC, INC. | 2728 Asbury Road Suite 920, Dubuque, IA 52001 |
| Street Address |
2728 ASBURY RD. SUITE 920 |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| Find all providers in zip 52001 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221824 | Brian Louis Regan | Chiropractor | 2458 Cherry St, Dubuque, IA 52001-5749 | 2018-10-24 |
| 1588171920 | Function First Chiropractic | Chiropractor | 2600 Dodge St. Plaza 20, Dubuque, IA 52003-5200 | 2018-01-08 |
| 1538571120 | Fullness of Life Chiropractic, Plc | Chiropractor | 150 Jfk Rd, Suite 10, Dubuque, IA 52002-5306 | 2014-05-30 |
| 1376953638 | Neal A Rolwes | Chiropractor | 150 Jfk Rd Ste 10, Dubuque, IA 52002-5306 | 2014-05-07 |
| 1417384389 | Truly Balanced, L.L.C. | Chiropractor | 3350 Center Grove Dr, Suite 1, Dubuque, IA 52003-5200 | 2013-10-08 |
| 1093052946 | Douglas Steven Christensen | Chiropractor | 3220 Dodge St, Dubuque, IA 52003-5246 | 2013-01-12 |
| 1265723878 | Joshua Emory Nagle | Chiropractor | 4840 Asbury Rd, Dubuque, IA 52001 | 2011-04-29 |
| 1659674976 | Dubuque Family Chiropractic P.l.l.c. | Chiropractor | 2055 Holliday Dr, Suite 420, Dubuque, IA 52002-0415 | 2010-12-08 |
| 1710295431 | Carolyn Cornish | Chiropractor | 2276 Graham Cir, Dubuque, IA 52002-2717 | 2010-09-15 |
| 1174845648 | Stephen J. Dalsing D.c.p.c. | Chiropractor | 1920 Jfk Rd, Dubuque, IA 52002-3896 | 2010-02-24 |
| Find all providers in DUBUQUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.