Organization Active NPI

Christensen Chiropractic PC

  • Chiropractor
  • Altoona, IA
National Provider Identifier
1093876740
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHRISTENSEN CHIROPRACTIC PC
Practice address
507 8TH St SE
Altoona, IA 50009-1903
Phone
(515) 967-7169
Fax
(515) 967-8470
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jeffery Tate Christensen, D.C.NPI 1306057013
Title
Owner
Phone
(515) 967-7169

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IA Primary

Addresses

Primary practice location

507 8TH St SE
Altoona, IA 50009-1903

Mailing address

507 8TH St SE
Altoona, IA 50009-1903
Phone (515) 967-7169

Other names 1

  • Altoona Family Chiropractic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601001322 IA Part B Supplier - Clinic/Group Practice 2860474236 Receives reassigned benefits from 2 practitioners
Practice locations: Altoona, IA

National Provider Directory

National Provider Directory

Locations

507 8th St SE
Altoona, IA 50009
Phone (515) 967-3007

Practitioners & affiliated clinicians

Practitioners 5

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093876740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 8TH ST SE",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091903",
            "telephone_number": "515-967-7169",
            "fax_number": "515-967-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 8TH ST SE",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091903",
            "telephone_number": "515-967-7169",
            "fax_number": "515-967-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENSEN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "TATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-967-7169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altoona Family Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.