Organization Active NPI

Whitmer Spine & Sports Chiropractic

  • Chiropractor
  • Holstein, IA
National Provider Identifier
1184817066
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06516 Issued in IA
Legal business name
WHITMER SPINE & SPORTS CHIROPRACTIC
Practice address
800 S Main St
Holstein, IA 51025-7762
Phone
(712) 368-4547
Fax
(712) 368-4702
NPI assigned
Aug 23, 2007
Last updated
Feb 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Heather Langschwager
Title
Office Manager
Phone
(712) 368-4547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06516 IA Primary

Addresses

Primary practice location

800 S Main St
Holstein, IA 51025-7762

Mailing address

800 S Main St
P.O. Box 190
Holstein, IA 51025-7762
Phone (712) 368-4547

Other identifiers 1

IdentifierTypeStateIssuer
5256222MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051216000555 IA Part B Supplier - Clinic/Group Practice 9537180534 Receives reassigned benefits from 1 practitioner
Practice locations: Holstein, IA

National Provider Directory

National Provider Directory

Locations

406 4th St
Ste A
Sergeant Bluff, IA 51054
Phone (712) 943-2068

Practitioners & affiliated clinicians

Practitioners 5

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": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1184817066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "address_2": "P.O. BOX 190",
            "city": "HOLSTEIN",
            "state": "IA",
            "postal_code": "510257762",
            "telephone_number": "712-368-4547",
            "fax_number": "712-368-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "city": "HOLSTEIN",
            "state": "IA",
            "postal_code": "510257762",
            "telephone_number": "712-368-4547",
            "fax_number": "712-368-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITMER SPINE & SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "LANGSCHWAGER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-368-4547"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5256222",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holstein, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.