JASON MICHAEL PUDENZ (NPI# 1548523111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548523111 |
Entity Type | Individual |
Full Name | JASON MICHAEL PUDENZ |
Credential | DC |
Practice Address |
322 W 3rd St Suite B Carroll IA 51401-2708 |
Practice Telephone | 7127752418 |
Practice Fax Number | 7127752418 |
Mailing Telephone | 7127752418 |
Mailing Fax Number | 7127752418 |
Enumeration Date | 2012-06-19 |
Last Update Date | 2013-02-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 007596 | IA | Chiropractic Providers |
N | 111N00000X | Chiropractor | CHR-6882 | CO | Chiropractic Providers |
Street Address |
322 W 3RD ST SUITE B |
City | CARROLL |
State | IA |
Zip Code | 51401-2708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578980306 | Jacob Davis | Massage Therapist | 322 W 3rd St, Suite B, Carroll, IA 51401-2708 | 2014-03-18 |
1376807339 | Pudenz Family Chiropractic Clinic | Chiropractor | 322 W 3rd St, Suite B, Carroll, IA 51401-2708 | 2012-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124625660 | Madison Hemer | Dietitian, Registered | 311 South Clark Street, Carroll, IA 51401 | 2020-10-07 |
1598397309 | Samantha Anne Ludwig | Pharmacist | 425 Highway 30 West, Suite 140, Carroll, IA 51401 | 2020-02-10 |
1265804082 | Katrina (tina) K Wederquist Zanders | Social Worker | 409 1/2 W 7th, Catholic Charities, Carroll, IA 51401 | 2015-10-21 |
1508127705 | Carly M. Quam | Family Medicine | 1241 S Grant Road, Carroll, IA 51401 | 2012-06-04 |
1033492517 | Daniel Michael G'sell | Pharmacist | 1214 S. Grant Rd., Carroll, IA 51401 | 2011-09-21 |
1356510317 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2014 Kitty Hawk Ave, Carroll, IA 51401 | 2008-02-25 |
1902075153 | Banks Chiropractic Inc. | Chiropractor | 1420 Hwy. 71 North, Carroll, IA 51401 | 2008-02-21 |
1093994261 | Janelle Rae Brungardt | Occupational Therapy Assistant | 2241 Northwest Street, Carroll, IA 51401 | 2007-10-24 |
1871780197 | Assisted Living Concepts Inc | Assisted Living Facility | 1024 E 12th Street, Carroll, IA 51401 | 2007-10-01 |
1487865267 | Tthomas Charles Lehman | Pharmacist | 859 Highway 30 E, Carroll, IA 51401 | 2007-05-24 |
Find all providers in zip 51401 |
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 |
---|---|---|---|---|
1174844948 | Carroll Family Chiropractic Center | Chiropractor | 726 N Carroll St, Carroll, IA 51401-2367 | 2010-06-16 |
1134459563 | Pick Chiropractic, P.C. | Chiropractor | 204 W 7th St, Carroll, IA 51401-2317 | 2010-01-07 |
1902075153 | Banks Chiropractic Inc. | Chiropractor | 1420 Hwy. 71 North, Carroll, IA 51401 | 2008-02-21 |
1538388616 | Charles Steven Mcmarrow | Chiropractor | 7440 Columbus Lancaster Rd Nw, Carroll, OH 43112-9517 | 2007-04-25 |
1023134814 | Paul Joseph Greteman | Chiropractor | 710 Simon Ave, Carroll, IA 51401-2224 | 2007-03-22 |
1194804112 | Michael Jon Christensen | Chiropractor | 504 N Clark St Ste 2, Carroll, IA 51401-2573 | 2006-11-02 |
1851358543 | Angela Louise Cross | Chiropractor | 715 N Clark St, Carroll, IA 51401-2569 | 2006-04-27 |
1184603482 | Michael J. Soppe I | Chiropractor | 1420 N Us Highway 71, Carroll, IA 51401-3344 | 2006-01-13 |
1588654024 | John G Donovan | Chiropractor | 410 W 3rd St, Carroll, IA 51401-2230 | 2005-10-26 |
1144751413 | Innate Health, LLC | Chiropractor | 715 N Clark St, Carroll, IA 51401-2534 | 2017-03-27 |
Find all providers in CARROLL |
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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.