Be Well Chiropractic, LLC
Organization Active NPI Chiropractor · Urbandale, IA
NPI 1043858962 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1043858962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BE WELL CHIROPRACTIC, LLC
- Practice address
- 9400 Plum Dr Ste 140
Urbandale, IA 50322-6242 - Phone
- (515) 422-4979
- NPI assigned
- Dec 11, 2019
- Organization subpart
- No
Authorized official
- Name
- Hollie Radig, D.C.
- Title
- Chiropractor
- Phone
- (515) 422-4979
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200312001909 | IA | Part B Supplier - Clinic/Group Practice | 3072941640 |
Receives reassigned benefits from 1 practitioner Practice locations: Urbandale, IA |
National Provider Directory
Locations
9400 Plum Dr
Ste 140
Urbandale, IA 50322
Phone (515) 410-1075
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
9400 Plum Dr Ste 140
Urbandale, IA 50322-6242
Mailing address
9400 Plum Dr Ste 140
Urbandale, IA 50322-6242
Phone (515) 422-4979
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.