Individual provider Active NPI

Stephanie J. Veldman, DC,CCSP

  • Sports Physician Chiropractor
  • Spirit Lake, IA
National Provider Identifier
1295727394
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
A5663 Issued in IA
Practice address
2007 18TH St
Suite 1
Spirit Lake, IA 51360-1061
Phone
(712) 336-1330
Fax
(712) 336-4240
NPI assigned
Aug 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X A5663 IA Primary

Addresses

Primary practice location

2007 18TH St
Suite 1
Spirit Lake, IA 51360-1061

Mailing address

2007 18TH St
Suite 1
Spirit Lake, IA 51360-1061
Phone (712) 336-1330

Other identifiers 1

IdentifierTypeStateIssuer
1090308MedicaidIA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Concepts Sports Physician PastSince Apr 1, 2000 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295727394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 18TH ST",
            "address_2": "SUITE 1",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601061",
            "telephone_number": "712-336-1330",
            "fax_number": "712-336-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 18TH ST",
            "address_2": "SUITE 1",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601061",
            "telephone_number": "712-336-1330",
            "fax_number": "712-336-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELDMAN",
        "first_name": "STEPHANIE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DC,CCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "A5663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090308",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.