INTENTIONAL CHIROPRACTIC PC
NPI 1760337331
Chiropractor in Waterloo, IA

Active since February 28, 2026
3640 CANTERBURY CT, WATERLOO, IA 50702(641) 780-4192 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Intentional Chiropractic Pc NPPES

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

INTENTIONAL CHIROPRACTIC PC (NPI 1760337331) is a healthcare organization registered as a chiropractor in Waterloo, Iowa and active in the NPI registry since February 2026. The organization lists Matt Gronewold, Owner, as its authorized official.

NPPES Registry Identity

NPI1760337331
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameINTENTIONAL CHIROPRACTIC PC
Location Address3640 CANTERBURY CTWaterloo, IA 50702-5705
Mailing Address3640 Canterbury CtWaterloo, IA 50702-5705 · (641) 780-4192
Organization SubpartNo
Authorized OfficialMatt GronewoldOwner · (641) 780-4192
Enumeration DateFebruary 28, 2026
NPPES CertifiedFebruary 28, 2026
✔ NPI 1760337331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
3640 CANTERBURY CT, Waterloo, IA 50702

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Intentional Chiropractic Pc 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 Intentional Chiropractic PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1003817305
3731 KIMBALL AVE
Waterloo, IA 50702
(319) 232-1143
✔ Accepts Medicare0.1 mi
Chiropractic
NPI 1366836389
110 E 10TH ST
Pella, IA 50219
(641) 780-4192
✔ Accepts Medicare79 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 Intentional Chiropractic PC's NPI number?

The NPI number for Intentional Chiropractic PC is 1760337331. It was assigned to this organization in the NPPES registry on February 28, 2026.

Where is Intentional Chiropractic PC located?

Intentional Chiropractic PC is located at 3640 Canterbury Ct, Waterloo, IA 50702. The listed phone number is (641) 780-4192.

What is Intentional Chiropractic PC's specialty?

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

Is Intentional Chiropractic PC enrolled in Medicare?

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

How many clinicians bill Medicare through Intentional Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Intentional Chiropractic 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Intentional Chiropractic PC accept?

Health plans from Sanford Health Plan list Intentional Chiropractic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Intentional Chiropractic PC was last updated on February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.