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EVANSDALE CHIROPRACTIC CLINIC, PLC
NPI 1477581478
Chiropractor in Evansdale, IA

Active since June 29, 2006
209 S EVANS RD, EVANSDALE, IA 50707(319) 234-4872(319) 236-0670 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Evansdale Chiropractic Clinic, Plc NPPES

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

EVANSDALE CHIROPRACTIC CLINIC, PLC (NPI 1477581478) is a healthcare organization registered as a chiropractor in Evansdale, Iowa and active in the NPI registry since June 2006. The organization lists Duane A Widen, Owner, as its authorized official.

NPPES Registry Identity

NPI1477581478
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEVANSDALE CHIROPRACTIC CLINIC, PLC
Location Address209 S EVANS RDEvansdale, IA 50707-1121
Mailing Address209 S Evans RdEvansdale, IA 50707-1121 · (319) 234-4872 · Fax (319) 236-0670
Phone(319) 234-4872
Fax(319) 236-0670
Organization SubpartNo
Authorized OfficialDuane A WidenOwner · (319) 234-4872
Enumeration DateJune 29, 2006
Last NPPES UpdateFebruary 3, 2015
✔ NPI 1477581478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · A5374
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.
209 S EVANS RD, Evansdale, IA 50707
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Other Identifiers 2

Medicaid0287854IA
Medicare PIN28785

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)

Evansdale Chiropractic Clinic, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Evansdale Chiropractic Clinic, Plc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Duane Widen, DC, DIBCN
Chiropractic
NPI 1578593240
209 S EVANS RD
Evansdale, IA 50707
(319) 234-4872
✔ Accepts Medicare0.1 mi
Zach Duckworth
Chiropractic
NPI 1497579064
3731 KIMBALL AVE
Waterloo, IA 50702
(319) 232-1143
✔ Accepts Medicare3.7 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 Evansdale Chiropractic Clinic, Plc's NPI number?

The NPI number for Evansdale Chiropractic Clinic, Plc is 1477581478. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Evansdale Chiropractic Clinic, Plc located?

Evansdale Chiropractic Clinic, Plc is located at 209 S Evans Rd, Evansdale, IA 50707. The listed phone number is (319) 234-4872.

What is Evansdale Chiropractic Clinic, Plc's specialty?

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

Is Evansdale Chiropractic Clinic, Plc enrolled in Medicare?

Yes. Evansdale Chiropractic Clinic, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evansdale Chiropractic Clinic, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Evansdale Chiropractic Clinic, Plc. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evansdale Chiropractic Clinic, Plc was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.