ACTIVE CHIROPRACTIC P C
NPI 1194149203
Chiropractor - Sports Physician in Clinton, IA
About Active Chiropractic P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE CHIROPRACTIC P C (NPI 1194149203) is a healthcare organization registered as a sports physician in Clinton, Iowa and active in the NPI registry since February 2014. The organization lists Brian R Dornbush, 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)
Active Chiropractic P C 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 Active Chiropractic P C, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Active Chiropractic P C's NPI number?
The NPI number for Active Chiropractic P C is 1194149203. It was assigned to this organization in the NPPES registry on February 10, 2014.
Where is Active Chiropractic P C located?
Active Chiropractic P C is located at 1220 13th Ave N, Clinton, IA 52732. The listed phone number is (563) 242-9343.
What is Active Chiropractic P C's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is Active Chiropractic P C enrolled in Medicare?
Yes. Active Chiropractic P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Active Chiropractic P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Active Chiropractic P C. 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 Active Chiropractic P C was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.
# Active Chiropractic P C · NPI 1194149203
Sports Physician organization in Clinton, Iowa. Organization record, active in the CMS NPPES registry since February 10, 2014.
## Identity
- **NPI:** 1194149203 (Entity type: Organization)
- **Enumerated:** February 10, 2014
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **Organization subpart:** No
- **Authorized official:** Brian Dornbush, PRESIDENT
## Practice location
- **Address:** 1220 13TH AVE N, Clinton, IA 52732-3350
- **Phone:** (563) 242-9343 · **Fax:** (563) 242-8507
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1194149203) · Data from the CMS NPPES public registry.