Active NPI
Handeland Chiropractic 2 LLC
- Chiropractor
- Emmetsburg, IA
National Provider Identifier
1124454806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007592
- Legal business name
- HANDELAND CHIROPRACTIC 2 LLC
- Practice address
- 3687 450TH Ave
Emmetsburg, IA 50536 - Phone
- (712) 852-2266
- Fax
- (712) 852-3728
- NPI assigned
- Sep 25, 2013
- 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. Shawn Michael Handeland, D.C.
- Title
- Owner/Doctor
- Phone
- (712) 852-2266
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 | 007592 | IA | Primary |
Addresses
Primary practice location
3687 450TH Ave
Emmetsburg, IA 50536
Mailing address
P. O. Box 91
Emmetsburg, IA 50536
Phone (712) 852-2266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140114001257 | IA | Part B Supplier - Clinic/Group Practice | 5496983637 |
Receives reassigned benefits from 1 practitioner Practice locations: Emmetsburg, IA; Laurens, IA |
National Provider Directory
National Provider DirectoryLocations
3687 450th Ave
Emmetsburg, IA 50536
Phone (712) 852-2266
101 N 3rd St
Laurens, IA 50554
Phone (712) 202-5553
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Emmetsburg, IA
- NPI 1629312913
-
- Chiropractor
- Emmetsburg, IA
- NPI 1285693754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380067200000",
"number": "1124454806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 91",
"city": "EMMETSBURG",
"state": "IA",
"postal_code": "50536",
"telephone_number": "712-852-2266",
"fax_number": "712-852-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3687 450TH AVE",
"city": "EMMETSBURG",
"state": "IA",
"postal_code": "50536",
"telephone_number": "712-852-2266",
"fax_number": "712-852-3728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANDELAND CHIROPRACTIC 2 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-25",
"last_updated": "2013-09-25",
"status": "A",
"authorized_official_last_name": "HANDELAND",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "712-852-2266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "007592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emmetsburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.