Individual provider Active NPI

Lani Jane Kuklok, DC

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1346767712
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
088811 Issued in IA
Practice address
1906 Ingersoll Ave
Des Moines, IA 50309-3321
Phone
(515) 225-2237
NPI assigned
Aug 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 088811 IA Primary

Addresses

Primary practice location

1906 Ingersoll Ave
Des Moines, IA 50309-3321

Mailing address

1906 Ingersoll Ave
Des Moines, IA 50309-3321
Phone (515) 225-2237

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
088811IAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1503792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346767712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093321",
            "telephone_number": "515-225-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093321",
            "telephone_number": "515-225-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKLOK",
        "first_name": "LANI",
        "middle_name": "JANE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "088811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.