Chiropractic Advantage, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06935 Issued in IA

Legal business name

CHIROPRACTIC ADVANTAGE, PC

Practice address

1799 Highway 71 N
Okoboji, IA 51355-2536

Phone

(712) 332-7775

NPI assigned

Feb 2, 2009

Last updated

Feb 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joel David PackebushNPI 1568600237

Title

Chiropractor

Phone

(712) 330-2610

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

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.

• Joel David Packebush, DC

  • Chiropractor
  • Okoboji, IA
  • NPI 1568600237
  Medicare reassignment NPD Authorized official
• Samuel Paul Lammers, D.C.

  • Chiropractor
  • Okoboji, IA
  • NPI 1154300184
  NPD

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1386882132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "OKOBOJI",
            "state": "IA",
            "postal_code": "513550792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 HIGHWAY 71 N",
            "city": "OKOBOJI",
            "state": "IA",
            "postal_code": "513552536",
            "telephone_number": "712-332-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC ADVANTAGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "PACKEBUSH",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "712-330-2610",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsie Christensen
• Macy Cornwall, RN
• Misty Dulin, REGISTERED NURSE
• Jason James Harris, D.C.
• Ronald Joseph Kolegraff, M.D.

• Chiropractor in Okoboji, IA
• Providers in Okoboji, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.