Individual provider Active NPI

James Edwin Audlehelm, D.C.

  • Chiropractor
  • Osceola, IA
National Provider Identifier
1003994211
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04319 Issued in IA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0006981MedicaidIA
00698OtherIAWELLMARK

Electronic endpoints 2

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
04319IAMDChiropractor

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.

Verify at the official NPI Registry.