Active NPI
Daniel C. Kjeldgaard, DC
- Chiropractor
- Council Bluffs, IA
National Provider Identifier
1194704858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06482
- Practice address
- 7 N 6TH St Ste 550
Council Bluffs, IA 51503-0710 - Phone
- (712) 256-5440
- Fax
- (712) 256-5441
- NPI assigned
- Jan 11, 2006
- Last updated
- Jan 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 06482 | IA | Primary |
Addresses
Primary practice location
7 N 6TH St Ste 550
Council Bluffs, IA 51503-0710
Mailing address
7 N 6TH St
Council Bluffs, IA 51503-0710
Phone (712) 256-5440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U90548 | Medicaid | IA |
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
- Cleveland Chiropractic College - Kansas City, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7 N 6TH St
Council Bluffs, IA 51503-0710
Phone (712) 256-5440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06482 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic | Current | Accepting new patients |
Locations
1851 Madison Ave
Ste 550
Council Bluffs, IA 51503
Phone (712) 256-5440
Organizations & group practices 2
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.
-
dba Advanced ChiroCare
- Chiropractor
- Council Bluffs, IA
- NPI 1114219169
-
- Preferred Provider Organization
- Council Bluffs, IA
- NPI 1316113061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705708800000",
"number": "1194704858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 N 6TH ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030710",
"telephone_number": "712-256-5440",
"fax_number": "712-256-5441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 N 6TH ST STE 550",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030710",
"telephone_number": "712-256-5440",
"fax_number": "712-256-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KJELDGAARD",
"first_name": "DANIEL",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2024-01-20",
"certification_date": "2024-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "U90548",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.