NPIMap

Organization Active NPI

Chiropractic Concepts

  • Sports Physician Chiropractor
  • Spirit Lake, IA
National Provider Identifier
1194758896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
A5663 Issued in IA
Legal business name
CHIROPRACTIC CONCEPTS
Practice address
2007 18TH St Ste 1
Spirit Lake, IA 51360-1061
Phone
(712) 336-1330
Fax
(712) 336-4240
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephanie J. Veldman, DC,CCSPNPI 1295727394
Title
Chiropractor
Phone
(712) 336-1330

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)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X A5663 IA Primary

Addresses

Primary practice location

2007 18TH St Ste 1
Spirit Lake, IA 51360-1061

Mailing address

2007 18TH St Ste 1
Spirit Lake, IA 51360-1061
Phone (712) 336-1330

Other identifiers 1

IdentifierTypeStateIssuer
1090308MedicaidIA

National Provider Directory

National Provider Directory

Locations

2007 18th St
Ste 1
Spirit Lake, IA 51360
Phone (712) 336-1330

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194758896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 18TH ST STE 1",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601061",
            "telephone_number": "712-336-1330",
            "fax_number": "712-336-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 18TH ST STE 1",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601061",
            "telephone_number": "712-336-1330",
            "fax_number": "712-336-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELDMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "712-336-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "A5663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090308",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.