Active NPI
Lee Daniel Malmstrom, D.C.
- Chiropractor
- Spencer, IA
National Provider Identifier
1124187117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007136
- Practice address
- 1025 5TH Ave SE
Spencer, IA 51301-6004 - Phone
- (712) 580-3294
- Fax
- (888) 834-8986
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007136 | IA | Primary |
Addresses
Primary practice location
1025 5TH Ave SE
Spencer, IA 51301-6004
Mailing address
1025 5TH Ave SE
Spencer, IA 51301-6004
Phone (712) 580-3294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 5TH Ave SE
Spencer, IA 51301-6004
Phone (712) 580-3294
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer Chiropractic & Wellness Center PC | Chiropractor | Current | Accepting new patients |
| Lifetime Chiropractic and Wellness PC | Chiropractor | Past | Accepting new patients |
| Lance E Malmstrom DC, PA | Past | Accepting new patients | |
| Lifetime Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
1025 5th Ave SE
Spencer, IA 51301
Phone (712) 262-3517
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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-
- Chiropractor
- Manchester, IA
- NPI 1205252863
-
dba Malmstrom Chiropractic Clinic
- Orthopedic Chiropractor
- Topeka, KS
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1124187117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 5TH AVE SE",
"city": "SPENCER",
"state": "IA",
"postal_code": "513016004",
"telephone_number": "712-580-3294",
"fax_number": "888-834-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 5TH AVE SE",
"city": "SPENCER",
"state": "IA",
"postal_code": "513016004",
"telephone_number": "712-580-3294",
"fax_number": "888-834-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALMSTROM",
"first_name": "LEE",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.