DR. CHAD FIKSE (NPI# 1518043553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518043553 |
| Entity Type | Individual |
| Full Name | DR. CHAD FIKSE |
| Credential | D.C. |
| Practice Address |
612 4th St Sully IA 50251-0301 |
| Mailing Address |
612 4th St P.o. Box 301 Sully IA 50251-0301 |
| Practice Telephone | 6415944299 |
| Practice Fax Number | 6415943499 |
| Mailing Telephone | 6415944299 |
| Mailing Fax Number | 6415943499 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 06648 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS / BLUE SHIELD | 36311 | 01 |
| Street Address |
612 4TH ST |
| City | SULLY |
| State | IA |
| Zip Code | 50251-0301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851448294 | Lynnville-sully C.s.d. | Local Education Agency (LEA) | 12476 Hwy F-62 East, Sully, IA 50251 | 2007-01-05 |
| 1750374583 | Loren J. Vos Treas | Ambulance | 601 5th St, Sully, IA 50251-0256 | 2005-08-26 |
| 1104860808 | Pella Regional Health Center | Clinic/Center | 704 3rd St, Sully, IA 50251-1016 | 2006-06-15 |
| 1912311085 | Jennifer Marie Long | Nurse Practitioner | 704 3rd St, Sully, IA 50251-1016 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851448294 | Lynnville-sully C.s.d. | Local Education Agency (LEA) | 12476 Hwy F-62 East, Sully, IA 50251 | 2007-01-05 |
| 1104860808 | Pella Regional Health Center | Clinic/Center | 704 3rd St, Sully, IA 50251-1016 | 2006-06-15 |
| 1912311085 | Jennifer Marie Long | Nurse Practitioner | 704 3rd St, Sully, IA 50251-1016 | 2014-06-17 |
| 1750374583 | Loren J. Vos Treas | Ambulance | 601 5th St, Sully, IA 50251-0256 | 2005-08-26 |
| 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. |
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|---|---|---|---|---|
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| 1386244283 | Innate Health Chiropractic Pllc | Chiropractor | 6 Hawkeye Dr Ste 105, North Liberty, IA 52317-8904 | 2020-10-29 |
| 1316552052 | Shannon Kathleen Christiansen | Chiropractor | 2108 Vine St, Davenport, IA 52804-2056 | 2020-09-10 |
| 1609487230 | Joseph Aaron Viers | Chiropractor | 250 W 1st St Ste D, Grimes, IA 50111-2138 | 2020-08-17 |
| 1821609918 | Kira Baca | Chiropractor | 3231 Schuetzen Ln Apt 3, Davenport, IA 52804-4344 | 2020-08-12 |
| 1073123527 | Aligned Chiropractic Pllc | Chiropractor | 928 Valley View Dr Ste 14, Council Bluffs, IA 51503-5288 | 2020-08-08 |
| 1659980191 | Katelyn Ann De Kruyff | Chiropractor | 204 8th St Se Ste A, Altoona, IA 50009-1951 | 2020-07-30 |
| 1477189538 | Acme Chiropractic PC | Chiropractor | 701 Nw School St, Ankeny, IA 50023-1735 | 2020-03-19 |
| 1316572795 | Ayusa Ogawa Lisk | Chiropractor | 4815 Ne Trilein Dr, Ankeny, IA 50021-8106 | 2020-03-06 |
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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.