Organization Active NPI

Avitt Enterprises, Inc.

Doing business as Avitt Family Chiropractic

  • Pediatric Chiropractor
  • Indianola, IA
National Provider Identifier
1265704944
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
06698 Issued in IA
Legal business name
AVITT ENTERPRISES, INC.
Doing business as
Avitt Family Chiropractic
Practice address
215 N Howard St
Suite B
Indianola, IA 50125-2511
Phone
(515) 961-3310
Fax
(515) 961-3310
NPI assigned
Jan 27, 2012
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Dr. Laura A. Avitt, D.C., CACCP, FIAMANPI 1588643951
Title
Chiropractor/Owner
Phone
(515) 961-3310

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
Pediatric Chiropractor 111NP0017X 06698 IA Primary

Addresses

Primary practice location

215 N Howard St
Suite B
Indianola, IA 50125-2511

Mailing address

215 N Howard St
Suite B
Indianola, IA 50125-2511
Phone (515) 961-3310

Other identifiers 1

IdentifierTypeStateIssuer
44027OtherIABLUE CROSS/BLUE SHIELD

Other names 1

  • Avitt Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150205002450 IA Part B Supplier - Clinic/Group Practice 5496070807 Receives reassigned benefits from 1 practitioner
Practice locations: Indianola, IA

National Provider Directory

National Provider Directory

Locations

215 N Howard St
Ste B
Indianola, IA 50125
Phone (515) 961-3310

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": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1265704944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N HOWARD ST",
            "address_2": "SUITE B",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252511",
            "telephone_number": "515-961-3310",
            "fax_number": "515-961-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N HOWARD ST",
            "address_2": "SUITE B",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252511",
            "telephone_number": "515-961-3310",
            "fax_number": "515-961-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVITT ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "AVITT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "515-961-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., CACCP, FIAMA"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "IA",
            "license": "06698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "44027",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avitt Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianola, IA

Sources for this page

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