Organization Active NPI

Chiropractic Solutions PC

  • Chiropractor
  • Hiawatha, IA
National Provider Identifier
1124010376
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05868 Issued in IA
Legal business name
CHIROPRACTIC SOLUTIONS PC
Practice address
1350 Boyson Rd
BLDG C
Hiawatha, IA 52233-2211
Phone
(319) 393-0086
Fax
(319) 294-0700
NPI assigned
Aug 15, 2005
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. Daniel William Kellen, DCNPI 1013900398
Title
Owner
Phone
(319) 393-0086

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X A05926 IA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X A05868 IA Primary

Addresses

Primary practice location

1350 Boyson Rd
BLDG C
Hiawatha, IA 52233-2211

Mailing address

1350 Boyson Rd
BLDG C
Hiawatha, IA 52233-2211
Phone (319) 393-0086

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000820 IA Part B Supplier - Clinic/Group Practice 6507835204 Receives reassigned benefits from 1 practitioner
Practice locations: Hiawatha, IA

National Provider Directory

National Provider Directory

Locations

1350 Boyson Rd
Ste C
Hiawatha, IA 52233
Phone (319) 393-0086

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": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1124010376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BOYSON RD",
            "address_2": "BLDG C",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332211",
            "telephone_number": "319-393-0086",
            "fax_number": "319-294-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 BOYSON RD",
            "address_2": "BLDG C",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332211",
            "telephone_number": "319-393-0086",
            "fax_number": "319-294-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "KELLEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-393-0086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05926",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.