Active NPI
Swella Clinic of Chiropractic, P.C.
- Chiropractor
- Decorah, IA
National Provider Identifier
1063675809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05780
- Legal business name
- SWELLA CLINIC OF CHIROPRACTIC, P.C.
- Practice address
- 810 S Mechanic St
Decorah, IA 52101-2146 - Phone
- (563) 382-3801
- Fax
- (563) 387-0004
- NPI assigned
- Jul 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rebecca Jo Swella Smedsrud, D.C.
- Title
- Chiropractor/Owner
- Phone
- (563) 382-3801
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A05780 | IA | Primary |
Addresses
Primary practice location
810 S Mechanic St
Decorah, IA 52101-2146
Mailing address
810 S Mechanic St
Decorah, IA 52101-2146
Phone (563) 382-3801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15201 | Other | IA | WELLMARK |
| 1811977473 | Other | IA | NPI INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
810 S Mechanic St
Decorah, IA 52101
Phone (563) 382-3801
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.
-
- Chiropractor
- Decorah, IA
- NPI 1811977473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214956800000",
"number": "1063675809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 S MECHANIC ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012146",
"telephone_number": "563-382-3801",
"fax_number": "563-387-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 S MECHANIC ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012146",
"telephone_number": "563-382-3801",
"fax_number": "563-387-0004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWELLA CLINIC OF CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A",
"authorized_official_last_name": "SWELLA SMEDSRUD",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "563-382-3801",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "A05780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "15201",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1811977473",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.