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WAUKEE CHIROPRACTIC CENTER PC
NPI 1083074819
Chiropractor in Clive, IA

Active since March 07, 2016
2180 NW 156TH ST, SUITE 102, CLIVE, IA 50325(515) 987-0299(515) 989-7586 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Waukee Chiropractic Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAUKEE CHIROPRACTIC CENTER PC (NPI 1083074819) is a healthcare organization registered as a chiropractor in Clive, Iowa and active in the NPI registry since March 2016. The organization lists Trent Julian Fugere, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1083074819
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWAUKEE CHIROPRACTIC CENTER PC
Location Address2180 NW 156TH ST, SUITE 102Clive, IA 50325-7982
Mailing Address9500 University Ave, Suite 2106West Des Moines, IA 50266-1745 · (515) 987-0299 · Fax (515) 989-7586
Phone(515) 987-0299
Fax(515) 989-7586
Organization SubpartNo
Authorized OfficialTrent Julian FugereChiropractor · (515) 987-0299
Enumeration DateMarch 7, 2016
Last NPPES UpdateApril 5, 2017
✔ NPI 1083074819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · A05949
Definition
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.
2180 NW 156TH ST, Clive, IA 50325
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waukee Chiropractic Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Waukee Chiropractic Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Trent Fugere, D.C.
Chiropractic
NPI 1033204532
2180 NW 156TH ST SUITE 102
Clive, IA 50325
(515) 987-0299
✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waukee Chiropractic Center PC's NPI number?

The NPI number for Waukee Chiropractic Center PC is 1083074819. It was assigned to this organization in the NPPES registry on March 7, 2016.

Where is Waukee Chiropractic Center PC located?

Waukee Chiropractic Center PC is located at 2180 NW 156th St Suite 102, Clive, IA 50325. The listed phone number is (515) 987-0299.

What is Waukee Chiropractic Center PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Waukee Chiropractic Center PC enrolled in Medicare?

Yes. Waukee Chiropractic Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waukee Chiropractic Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Waukee Chiropractic Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Waukee Chiropractic Center PC was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.