NPIMap

Organization Active NPI

Acutechiro, LLC

  • Preferred Provider Organization
  • Forest City, IA
National Provider Identifier
1215328885
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
06906 Issued in IA
Legal business name
ACUTECHIRO, LLC
Practice address
117 S 4TH St
Forest City, IA 50436-1743
Phone
(641) 582-2080
Fax
(641) 582-2080
NPI assigned
Feb 18, 2015
Last updated
Feb 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Dr. Tjode Mickelson, DCNPI 1104808435
Title
Owner
Phone
(314) 398-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 06906 IA Primary

Addresses

Primary practice location

117 S 4TH St
Forest City, IA 50436-1743

Mailing address

117 S 4TH St
Forest City, IA 50436-1743

National Provider Directory

National Provider Directory

Locations

117 S 4th St
Forest City, IA 50436
Phone (641) 582-2080

Practitioners & affiliated clinicians

Practitioners 1

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": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1215328885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S 4TH ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504361743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S 4TH ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504361743",
            "telephone_number": "641-582-2080",
            "fax_number": "641-582-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTECHIRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "TJODE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-398-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IA",
            "license": "06906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.