Individual provider Active NPI

Alexis Marilyn Astor, DC

  • Chiropractor
  • Fort Dodge, IA
National Provider Identifier
1154052850
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
115345 Issued in IA
Practice address
20 N 29TH St
Fort Dodge, IA 50501-2990
Phone
(515) 227-7491
Fax
(888) 594-7231
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 115345 IA Primary

Addresses

Primary practice location

20 N 29TH St
Fort Dodge, IA 50501-2990

Mailing address

20 N 29TH St
Fort Dodge, IA 50501-2990
Phone (515) 227-7491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua J. Mason DC PC Chiropractor CurrentSince Jun 26, 2022 Accepting new patients

Locations

20 N 29th St
Fort Dodge, IA 50501
Phone (515) 227-7491

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1154052850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N 29TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012990",
            "telephone_number": "515-227-7491",
            "fax_number": "888-594-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N 29TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012990",
            "telephone_number": "515-227-7491",
            "fax_number": "888-594-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTOR",
        "first_name": "ALEXIS",
        "middle_name": "MARILYN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "115345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.