Active NPI
James Edwin Audlehelm, D.C.
- Chiropractor
- Osceola, IA
National Provider Identifier
1003994211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04319
- Practice address
- 430 S Temple St
Osceola, IA 50213-1515 - Phone
- (641) 342-4022
- Fax
- (641) 342-4022
- NPI assigned
- Nov 2, 2006
- Last updated
- Apr 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04319 | IA | Primary |
Addresses
Primary practice location
430 S Temple St
Osceola, IA 50213-1515
Mailing address
PO Box 461
Osceola, IA 50213-0461
Phone (641) 342-4022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006981 | Medicaid | IA | |
| 00698 | Other | IA | WELLMARK |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Osceola | Other | |
| CONNECT URL | Osceola | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041108000704 | IA | Practitioner - Chiropractic | 3476516741 | Practice locations: Osceola, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1974
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
231 S Main St
Suite 2
Osceola, IA 50213-2307
Phone (641) 342-4022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04319 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1003994211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 461",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502130461",
"telephone_number": "641-342-4022",
"fax_number": "641-342-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 S TEMPLE ST",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502131515",
"telephone_number": "641-342-4022",
"fax_number": "641-342-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUDLEHELM",
"first_name": "JAMES",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "04319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006981",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "00698",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Osceola",
"affiliation": "N",
"endpointDescription": "smartphone",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Osceola",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Osceola",
"address_1": "231 S Main St Ste 2",
"city": "Osceola",
"state": "IA",
"country_code": "US",
"postal_code": "502132307",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Osceola",
"affiliation": "N",
"endpointDescription": "smartphone",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Osceola",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Osceola",
"address_1": "231 S Main St Ste 2",
"city": "Osceola",
"state": "IA",
"country_code": "US",
"postal_code": "502132307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Osceola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.