KLECKNER CHIROPRACTIC CLINIC P.C. (NPI# 1881789931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881789931 |
| Entity Type | Organization |
| Organization Name | KLECKNER CHIROPRACTIC CLINIC P.C. |
| Practice Address |
250 Sw 1st St Ste C Grimes IA 50111-2138 |
| Mailing Address |
250 W 1st St Suite C Grimes IA 50111-2138 |
| Practice Telephone | 5159862233 |
| Practice Fax Number | 5159860041 |
| Mailing Telephone | 5159862233 |
| Mailing Fax Number | 5159860041 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | DR. ETHAN JOHN KLECKNER (DOCTOR/OWNER) |
| Authorized Official Telephone | 5159862233 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 06264 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0205567 | 05 | |
| IA | RAILROAD MEDICARE | 350048034 | 01 |
| IA | BLUE CROSS NUMBER | 09304 | 01 |
| Street Address |
250 SW 1ST ST STE C |
| City | GRIMES |
| State | IA |
| Zip Code | 50111-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013200914 | Ccrc of Grimes, LLC | Skilled Nursing Facility | 200 Sw Brookside Drive, Grimes, IA 50111 | 2011-05-25 |
| 1891000147 | Wal-mart Stores Inc | Technician/Technologist | 2150 East 1st St., Grimes, IA 50111 | 2010-08-11 |
| 1134364573 | Tram Quach | Pharmacist | 608 South 18th Street, Grimes, IA 50111 | 2008-12-15 |
| 1730338625 | Ann Marie Miller | Pharmacist | 5700 Glenstone Dr, Unit 701, Grimes, IA 50111 | 2008-09-16 |
| 1548481591 | Siebert Mobility, Inc. | Contractor | 3450 Se Miehe Drive, Suite 1, Grimes, IA 50111 | 2007-05-01 |
| 1275691867 | Nicholas John Nerem | Chiropractor | 925 Gateway Dr., Suite 200, Grimes, IA 50111 | 2006-12-05 |
| 1932275252 | Holly Marie Crowson | Chiropractor | 3000 Se Grimes Blvd, Suite 500, Grimes, IA 50111 | 2006-11-28 |
| 1235158452 | Amanda Jorgensen | Dentist | 100 Sw Brookside Dr, Grimes, IA 50111 | 2006-07-19 |
| 1922065903 | Curtis R Waddingham | Specialist/Technologist | 270 Sw 1st St, Ste H, Grimes, IA 50111 | 2006-04-26 |
| 1326011578 | Grove and Platt Dental Associates Plc | Dentist | 1541 S Third Street, Suite 300, Grimes, IA 50111 | 2006-02-08 |
| Find all providers in zip 50111 | ||||
| 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 |
|---|---|---|---|---|
| 1851991491 | Kaleb Olson | Chiropractor | 112 Ne Ewing St Ste A, Grimes, IA 50111-2181 | 2020-10-30 |
| 1609487230 | Joseph Aaron Viers | Chiropractor | 250 W 1st St Ste D, Grimes, IA 50111-2138 | 2020-08-17 |
| 1831751825 | Samuel Lahr | Chiropractor | 925 Se Gateway Dr # 300, Grimes, IA 50111-6632 | 2019-07-01 |
| 1003319922 | Quentin Danner | Chiropractor | 241 Se Destination Dr, Ste 300, Grimes, IA 50111-8901 | 2018-03-16 |
| 1326541715 | Revive Chiropractic Inc. | Chiropractor | 241 Se Destination Dr Ste 300, Grimes, IA 50111-8901 | 2018-03-13 |
| 1215278106 | Joseph Michael O'tool | Chiropractor | 1830 Se Princeton Dr, Suite D, Grimes, IA 50111-4826 | 2013-03-03 |
| 1568712867 | Ellingson Chiropractic P C | Chiropractor | 200 Se Gateway Dr Ste 103, Grimes, IA 50111-2182 | 2012-09-13 |
| 1275691867 | Nicholas John Nerem | Chiropractor | 925 Gateway Dr., Suite 200, Grimes, IA 50111 | 2006-12-05 |
| 1932275252 | Holly Marie Crowson | Chiropractor | 3000 Se Grimes Blvd, Suite 500, Grimes, IA 50111 | 2006-11-28 |
| 1447345186 | Kristin M Williamson | Chiropractor | 206 Se Main St, Grimes, IA 50111-2192 | 2006-10-04 |
| Find all providers in GRIMES | ||||
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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.