Individual provider Active NPI

Mitchell Ludwig, DC

  • Chiropractor
  • Sanborn, IA
National Provider Identifier
1124864897
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
123850 Issued in IA
Practice address
606 Carroll St Ste a
Sanborn, IA 51248-1177
Phone
(712) 930-5333
NPI assigned
Jul 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 123850 IA Primary

Addresses

Primary practice location

606 Carroll St Ste a
Sanborn, IA 51248-1177

Mailing address

2518 Forest St
Carroll, IA 51401-3449
Phone (712) 830-0913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716002403 IA Practitioner - Chiropractic 9537604442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Chiropractic, PCGroup PAC ID 9830278233, 2 clinicians

Practice addresses (Care Compare)

606 Carroll St
Suite a
Sanborn, IA 51248-1177
Phone (712) 930-5333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123850IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Chiropractic, P.C. Chiropractor CurrentSince Jul 8, 2024 Accepting new patients

Locations

606 Carroll St
Ste A
Sanborn, IA 51248
Phone (712) 930-5333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1124864897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 FOREST ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013449",
            "telephone_number": "712-830-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 CARROLL ST STE A",
            "city": "SANBORN",
            "state": "IA",
            "postal_code": "512481177",
            "telephone_number": "712-930-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "MITCHELL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "123850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanborn, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.

Verify at the official NPI Registry.