Provider Demographics
NPI:1639171473
Name:JONES, REX J (D C)
Entity type:Individual
Prefix:DR
First Name:REX
Middle Name:J
Last Name:JONES
Suffix:
Gender:
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-0800
Mailing Address - Country:US
Mailing Address - Phone:712-580-5090
Mailing Address - Fax:712-580-5091
Practice Address - Street 1:1019 S GRAND AVE STE 5
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-5739
Practice Address - Country:US
Practice Address - Phone:712-580-5090
Practice Address - Fax:712-580-5091
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA4383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0059683Medicaid
IAT00505Medicare UPIN
IA05968Medicare ID - Type Unspecified