Organization Active NPI

Peerbolte Chiropractic

  • Chiropractor
  • Atlantic, IA
National Provider Identifier
1386011658
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06801 Issued in IA
Legal business name
PEERBOLTE CHIROPRACTIC
Practice address
404 Poplar St
Atlantic, IA 50022-1250
Phone
(712) 243-1554
NPI assigned
Aug 21, 2015
Last updated
Aug 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Brad J Peerbolte, DC
Title
Partner
Phone
(712) 243-1554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06801 IA Primary

Addresses

Primary practice location

404 Poplar St
Atlantic, IA 50022-1250

Mailing address

404 Poplar St
Atlantic, IA 50022-1250
Phone (712) 243-1554

Other identifiers 1

IdentifierTypeStateIssuer
0016212MedicaidIA

National Provider Directory

National Provider Directory

Locations

404 Poplar St
Atlantic, IA 50022
Phone (712) 243-1554

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1386011658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 POPLAR ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221250",
            "telephone_number": "712-243-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 POPLAR ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221250",
            "telephone_number": "712-243-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEERBOLTE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "PEERBOLTE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "712-243-1554",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016212",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.