Organization Active NPI

Embrace Life Chiropractic LLC

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1205210408
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007712 Issued in IA
Legal business name
EMBRACE LIFE CHIROPRACTIC LLC
Practice address
2732 SE Delaware Ave
Ste 280
Ankeny, IA 50021-9322
Phone
(515) 639-0012
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Dr. Drew Corpstein, DCNPI 1144650771
Title
Owner
Phone
(515) 639-0012

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007712 IA Primary

Addresses

Primary practice location

2732 SE Delaware Ave
Ste 280
Ankeny, IA 50021-9322

Mailing address

2732 SE Delaware Ave
Ste 280
Ankeny, IA 50021-9322
Phone (515) 639-0012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150820011452 IA Part B Supplier - Clinic/Group Practice 1759696685 Receives reassigned benefits from 1 practitioner
Practice locations: Ankeny, IA

National Provider Directory

National Provider Directory

Locations

2732 SE Delaware Ave
Ste 280
Ankeny, IA 50021
Phone (515) 639-0012

Practitioners & affiliated clinicians

Practitioners 1

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": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1205210408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 SE DELAWARE AVE",
            "address_2": "STE 280",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219322",
            "telephone_number": "515-639-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 SE DELAWARE AVE",
            "address_2": "STE 280",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219322",
            "telephone_number": "515-639-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "CORPSTEIN",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-639-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.