DR. JORDAN MICHAEL DEGRAZIA (NPI# 1487633632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487633632 |
| Entity Type | Individual |
| Full Name | DR. JORDAN MICHAEL DEGRAZIA |
| Credential | D.C. |
| Practice Address |
610 Eastbury Dr. Suite 3 Iowa City IA 52245 |
| Mailing Address |
610 Eastbury Drive Suite 3 Iowa City IA 52245 |
| Practice Telephone | 3198876992 |
| Practice Fax Number | 3198876983 |
| Mailing Telephone | 3198876992 |
| Mailing Fax Number | 3198876983 |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 06528 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS & BLUE SHIELD | 50709 | 01 |
| IA | 0265678 | 05 |
| Street Address |
610 EASTBURY DR. SUITE 3 |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417149493 | Bella Vita Chiropractic & Wellness P.C. | Chiropractor | 610 Eastbury Dr., Suite 3, Iowa City, IA 52245 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
| 1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
| 1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
| 1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
| 1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
| 1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
| 1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
| Find all providers in zip 52245 | ||||
| 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 |
|---|---|---|---|---|
| 1245772540 | Aaron Hildreth | Chiropractor | 521 Westbury Dr, Unit 1, Iowa City, IA 52245-2727 | 2016-11-17 |
| 1053725259 | Jessica Leigh Young | Chiropractor | 401 S Gilbert St, Ste 101, Iowa City, IA 52240-4970 | 2014-06-16 |
| 1154732238 | Benjamin Scott Dickerson | Chiropractor | 474 Highway 1 W, Iowa City, IA 52246-4204 | 2014-05-12 |
| 1912340399 | Iowa City Chiropractic | Chiropractor | 302 Scott Ct, Iowa City, IA 52245-3951 | 2013-04-16 |
| 1972834448 | Active Family Chiropractic & Wellness, P.C. | Chiropractor | 1036 E Court St, Iowa City, IA 52240-3214 | 2010-01-24 |
| 1467607051 | West Liberty Chiropractic Center | Chiropractor | 203 Scott Ct # 207, Iowa City, IA 52245-3996 | 2008-11-24 |
| 1497901474 | John K Soenen | Chiropractor | 105 Iowa Ave Ste 231, Iowa City, IA 52240-3906 | 2008-08-11 |
| 1912189176 | Maria Conley D C P C | Chiropractor | 1486 S 1st Ave Ste B, Iowa City, IA 52240-6072 | 2007-11-29 |
| 1497942692 | Robert Bowen Hatcher II | Chiropractor | 811 S 1st Ave, Iowa City, IA 52245-5209 | 2007-10-02 |
| 1932305141 | Nancy Louise Gronewold | Chiropractor | 426 Highway 1 W, Iowa City, IA 52246-4204 | 2007-06-25 |
| Find all providers in IOWA CITY | ||||
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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.