Individual provider Active NPI

Leah Marie Malmstrom, D.C.

  • Chiropractor
  • Spencer, IA
National Provider Identifier
1336270255
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007086 Issued in IA
Practice address
1025 5TH Ave SE
Spencer, IA 51301-6004
Phone
(712) 580-3294
Fax
(844) 832-6407
NPI assigned
Mar 9, 2007
Last updated
Mar 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007086 IA Primary

Addresses

Primary practice location

1025 5TH Ave SE
Spencer, IA 51301-6004

Mailing address

1025 5TH Ave SE
Spencer, IA 51301-6004
Phone (712) 580-3294

Other names 1

  • Leah Marie Thomsen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080818000714 IA Practitioner - Chiropractic 3779687033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer Chiropractic and Wellness Center PCGroup PAC ID 9739302761, 2 clinicians

Practice addresses (Care Compare)

1025 5TH Ave SE
Spencer, IA 51301-6004
Phone (712) 580-3294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Chiropractic & Wellness Center PC Chiropractor CurrentSince Mar 6, 2014 Accepting new patients
Andrew L Harding DC PA Chiropractor PastSince Dec 8, 2000 Accepting new patients
Lifetime Chiropractic and Wellness PC Chiropractor Past Accepting new patients
Spinal Care Group Chiropractor Past Accepting new patients

Locations

1025 5th Ave SE
Spencer, IA 51301
Phone (712) 262-3517

Organizations & group practices 4

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1336270255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 5TH AVE SE",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513016004",
            "telephone_number": "712-580-3294",
            "fax_number": "844-832-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 5TH AVE SE",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513016004",
            "telephone_number": "712-580-3294",
            "fax_number": "844-832-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMSTROM",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "THOMSEN",
            "middle_name": "MARIE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.