Organization Active NPI

Simply Chiropractic LLC

  • Chiropractor
  • Clive, IA
National Provider Identifier
1033451240
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06614 Issued in IA
Legal business name
SIMPLY CHIROPRACTIC LLC
Practice address
12871 University Ave.
Suite #110
Clive, IA 50325-8256
Phone
(515) 224-0050
NPI assigned
Mar 26, 2013
Last updated
Jun 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Jason Arndorfer, D.C.NPI 1578587481
Title
Owner
Phone
(515) 224-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06614 IA Primary

Addresses

Primary practice location

12871 University Ave.
Suite #110
Clive, IA 50325-8256

Mailing address

12871 University Ave.
Suite #110
Clive, IA 50325-8256
Phone (515) 224-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130621000203 IA Part B Supplier - Clinic/Group Practice 0143469247 Receives reassigned benefits from 1 practitioner
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

12871 University Ave
Ste 110
Clive, IA 50325
Phone (515) 224-0050

1200 Valley West Dr
Ste 104
West Des Moines, IA 50266
Phone (515) 224-0050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1033451240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12871 UNIVERSITY AVE.",
            "address_2": "SUITE #110",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258256",
            "telephone_number": "515-224-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12871 UNIVERSITY AVE.",
            "address_2": "SUITE #110",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258256",
            "telephone_number": "515-224-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "ARNDORFER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-224-0050",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.