Advanced Chiropractic Care Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06482 Issued in ID

Legal business name

ADVANCED CHIROPRACTIC CARE INC.

Doing business as

Advanced ChiroCare

Practice address

7 N 6TH St
Council Bluffs, IA 51503-0710

Phone

(712) 256-5440

Fax

(712) 256-5441

NPI assigned

May 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Daniel C Kjeldgaard, D.C.NPI 1194704858

Title

President

Phone

(712) 256-5440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced ChiroCare Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Tax ID family

Advanced Chirocare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Chiropractic

  • Preferred Provider Organization
  • Council Bluffs, IA
  • NPI 1316113061
  NPD tax ID

Locations

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.

• Daniel C. Kjeldgaard, DC

  • Chiropractor
  • Council Bluffs, IA
  • NPI 1194704858
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1114219169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N 6TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030710",
            "telephone_number": "712-256-5440",
            "fax_number": "712-256-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N 6TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030710",
            "telephone_number": "712-256-5440",
            "fax_number": "712-256-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "KJELDGAARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-256-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "06482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1261545",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced ChiroCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacie Acox
• Debra Jean Adkins
• Jennifer Lynn Adkins
• Adult & Pediatric Urology PC
• Advanced Chiropractic
• Advanced Kidney Care PLLC
• Advanced Oral Surgery, PLLC (Council Bluffs Oral Surgery, PLLC)
• Advanced Periodontics Center
• Jolynn Ahmann, PHARMD
• Patrick Ahrens, M.D.

• Chiropractor in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.