Active NPI
Lance E Kellow, D.C.
- Chiropractor
- Urbandale, IA
National Provider Identifier
1366529307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007063
- Practice address
- 2900 100TH St Ste 204
Urbandale, IA 50322-3851 - Phone
- (515) 270-1700
- Fax
- (515) 270-1744
- NPI assigned
- Nov 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4766 | MN | |
| Chiropractor | 111N00000X | 007063 | IA | Primary |
Addresses
Primary practice location
2900 100TH St Ste 204
Urbandale, IA 50322-3851
Mailing address
2900 100TH St Ste 204
Urbandale, IA 50322-3851
Phone (515) 270-1700
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4766 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Spinal Care Associates, P.a. | Chiropractor | Past | 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 and National Provider Directory roles.
-
- Chiropractor
- Apple Valley, MN
- NPI 1285711663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1366529307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 100TH ST STE 204",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503223851",
"telephone_number": "515-270-1700",
"fax_number": "515-270-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 100TH ST STE 204",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503223851",
"telephone_number": "515-270-1700",
"fax_number": "515-270-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLOW",
"first_name": "LANCE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4766",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.