Function First Spine and Sport, PLLC
NPI 1407420664ActiveOrganization· Chiropractor· Humboldt, IA
Chiropractor in Humboldt, Iowa, registered in NPPES in May 2021. The authorized official on file is Cynthia S. Vansickler, DC, CCSP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407420664 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2021 |
| Last updated in NPPES | May 13, 2021 |
| Certified by provider | May 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
| Chiropractor, Sports Physician | 111NS0005X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA) |
|---|
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