Provider Demographics
NPI:1689667123
Name:CUMMINGS, CHRIS (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4225 GLASS RD NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2564
Mailing Address - Country:US
Mailing Address - Phone:319-362-3601
Mailing Address - Fax:319-362-3610
Practice Address - Street 1:4225 GLASS RD NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2564
Practice Address - Country:US
Practice Address - Phone:319-362-3601
Practice Address - Fax:319-362-3610
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06140111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1176545Medicaid
IA49076OtherBLUE CROSS
IA49076OtherBLUE CROSS
IAU71486Medicare UPIN