CITY CHIROPRACTIC INC
NPI 1104130590
Chiropractor in Dyersville, IA
About City Chiropractic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITY CHIROPRACTIC INC (NPI 1104130590) is a healthcare organization registered as a chiropractor in Dyersville, Iowa and active in the NPI registry since July 2010. The organization lists Jason W Wall, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
City Chiropractic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to City Chiropractic Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 City Chiropractic Inc's NPI number?
The NPI number for City Chiropractic Inc is 1104130590. It was assigned to this organization in the NPPES registry on July 28, 2010.
Where is City Chiropractic Inc located?
City Chiropractic Inc is located at 115 1st Ave W, Dyersville, IA 52040. The listed phone number is (563) 875-9255.
What is City Chiropractic Inc's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is City Chiropractic Inc enrolled in Medicare?
Yes. City Chiropractic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through City Chiropractic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to City Chiropractic Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for City Chiropractic Inc was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# City Chiropractic Inc · NPI 1104130590
Chiropractor organization in Dyersville, Iowa. Organization record, active in the CMS NPPES registry since July 28, 2010.
## Identity
- **NPI:** 1104130590 (Entity type: Organization)
- **Enumerated:** July 28, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jason Wall, PRESIDENT
## Practice location
- **Address:** 115 1ST AVE W, Dyersville, IA 52040-1104
- **Phone:** (563) 875-9255 · **Fax:** (563) 794-4050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1104130590) · Data from the CMS NPPES public registry.