Individual provider Active NPI

Lance E Kellow, D.C.

  • Chiropractor
  • Urbandale, IA
National Provider Identifier
1366529307
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007063 Issued in IA
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

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4766MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Spinal Care Associates, P.a. Chiropractor PastSince Sep 7, 1999 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.

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.

Verify at the official NPI Registry.