Active NPI
Adam Bellendier
- Chiropractor
- Cedar Rapids, IA
National Provider Identifier
1285048124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 100318
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 100820 | AK | MD | Chiropractor |
| 100318 | IA | MD | Chiropractor |
| CH60467906 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Chiro, L.L.C. | Chiropractor | Current | 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.
-
- Chiropractor
- Cedar Rapids, IA
- NPI 1366717894
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.