NORTHSIDE CHIROPRACTIC WELLNESS CENTER PLC (NPI# 1144552068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144552068 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE CHIROPRACTIC WELLNESS CENTER PLC |
| Practice Address |
1551 Indian Hills Dr Suite 8 Sioux City IA 51104-1859 |
| Mailing Address |
Po Box 2131 Sioux City IA 51104-0131 |
| Practice Telephone | 7122399095 |
| Practice Fax Number | 7122399123 |
| Mailing Telephone | 7122399095 |
| Mailing Fax Number | 7122399123 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |
| Authorized Official Name | DR. PRESTON H TORNELL (OWNER) |
| Authorized Official Telephone | 7122399095 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 06370 | IA | Chiropractic Providers |
| Street Address |
1551 INDIAN HILLS DR SUITE 8 |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51104-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063458636 | Carl Edwin Peters | Physician Assistant | 1551 Indian Hills Dr, Sioux City, IA 51104-1859 | 2006-06-21 |
| 1619456910 | Renee Ann Fagen | Psychologist | 1551 Indian Hills Dr, Sioux City, IA 51104-1859 | 2018-08-08 |
| 1922491638 | Simple Life, Inc. | Community/Behavioral Health | 1551 Indian Hills Dr, Suite 4, Sioux City, IA 51104-1859 | 2015-03-05 |
| 1689813255 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1551 Indian Hills Dr, #104, Sioux City, IA 51104-1859 | 2009-02-05 |
| 1174799225 | Michael P Baker Dba Associates for Psycholoigcal & Therapy Services | Counselor | 1551 Indian Hills Dr, Suite 221, Sioux City, IA 51104-1859 | 2008-05-07 |
| 1588705339 | Karen L Wall | Counselor | 1551 Indian Hills Dr, Suite 221, Sioux City, IA 51104-1859 | 2007-02-12 |
| 1114095403 | Indian Hills Pharmacy | Pharmacist | 1551 Indian Hills Dr, Ste 101, Sioux City, IA 51104-1859 | 2006-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578944435 | Family First Dental Associates of Iowa, P.C. | Dentist | 2100 Indian Hills Drive, Sioux City, IA 51104 | 2015-06-16 |
| 1740590785 | Khatu Vivienne Erlbacher | Pharmacist | 515 North Briar Path, Sioux City, IA 51104 | 2010-10-08 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| 1790811024 | Fred R Rizk | Dentist | 1923 Nebraska Street, Siuox City, IA 51104 | 2007-02-23 |
| 1255474029 | Edilia Maria Marshall | Dentist | Summit Dental, 2114 Pierce St, Sioux City, IA 51104 | 2007-02-14 |
| 1063553410 | Thomas Leonard Tiedeman | Dentist | 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 | 2007-02-09 |
| 1336209188 | Shawn Robert Walton | Dentist | 2410 Pierce Street, Sioux City, IA 51104 | 2006-12-11 |
| 1477649556 | Timothy R Kuntz | Dentist | 3012 Hamilton Blvd, Sioux City, IA 51104 | 2006-10-05 |
| 1528162732 | Duane Kent Nelson | Orthopaedic Surgery | 2800 Peirce St, Suite 101, Sioux City, IA 51104 | 2006-09-08 |
| 1659482206 | Shawn R Walton | Dentist | 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 | 2006-08-31 |
| Find all providers in zip 51104 | ||||
| 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 |
|---|---|---|---|---|
| 1194259846 | Zachary Steven Boltjes | Chiropractor | 2608 Hamilton Blvd, Sioux City, IA 51104-4048 | 2017-04-19 |
| 1033507207 | Juan Pablo Munoz | Chiropractor | 3206 Singing Hills Blvd, Sioux City, IA 51106 | 2014-12-22 |
| 1740610872 | Roni Rae Miller | Chiropractor | 4240 Hickory Lane, Suite 110, Sioux City, IA 51106-4642 | 2013-11-27 |
| 1235402025 | Christopher James Barber | Chiropractor | 2916 Hamilton Blvd Ste 101, Sioux City, IA 51104-2429 | 2012-02-09 |
| 1215221288 | Nicholas Bradley Chicoine | Chiropractor | 833 Gordon Dr, Sioux City, IA 51101-1829 | 2011-06-07 |
| 1891933784 | Sunnybrook Physicians and Rehab Gropup PC | Chiropractor | 5740 Sunnybrook Drive, Sioux City, IA 51106-4249 | 2009-01-30 |
| 1447422811 | Todd Chiropractic | Chiropractor | 4501 Stone Ave, Suite B, Sioux City, IA 51106-1916 | 2008-03-26 |
| 1932370889 | Sean Patrick Flynn | Chiropractor | 2300 Hamilton Blvd, Sioux City, IA 51104-4042 | 2008-03-19 |
| 1164609954 | Clifford J Meylor Dc PC | Chiropractor | Meylor Chiro Office 2608 Hamilton Blvd, Sioux City, IA 51104-4048 | 2008-01-24 |
| 1639389273 | Michael C Shine | Chiropractor | 3500 Lakeport Ave, Sioux City, IA 51106 | 2007-05-23 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51104 |
Please comment or provide details below to improve the information on NORTHSIDE CHIROPRACTIC WELLNESS CENTER PLC.
| 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.