Individual provider Active NPI

Adam Bellendier

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1285048124
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
100318 Issued in IA
Practice address
3221 16TH Ave SW
Cedar Rapids, IA 52404-1453
Phone
(319) 396-2300
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 100820 AK
Chiropractor 111N00000X CH60467906 WA
Nutrition Chiropractor 111NN1001X CH60467906 WA
Chiropractor 111N00000X 100318 IA Primary

Addresses

Primary practice location

3221 16TH Ave SW
Cedar Rapids, IA 52404-1453

Mailing address

3221 16TH Ave SW
Cedar Rapids, IA 52404-1453
Phone (319) 396-2300

Other practice location 1

10928 Eagle River Rd
Suite 104
Eagle River, AK 99577-8078
Phone (907) 622-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100820AKMDChiropractor
100318IAMDChiropractor
CH60467906WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
My Chiro, L.L.C. Chiropractor CurrentSince Jun 28, 2021 Accepting new patients

Locations

3221 16th Ave SW
Cedar Rapids, IA 52404
Phone (319) 294-0000

137 E Boyson Rd
Hiawatha, IA 52233
Phone (319) 294-0000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1285048124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 16TH AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041453",
            "telephone_number": "319-396-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 16TH AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041453",
            "telephone_number": "319-396-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10928 Eagle River Rd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995778078",
            "country_code": "US",
            "telephone_number": "907-622-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLENDIER",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "100820",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60467906",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "WA",
            "license": "CH60467906",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "100318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.