Organization Active NPI

Elite Spinal Rehab, P.C

  • Chiropractor
  • Urbandale, IA
National Provider Identifier
1386882983
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06832 Issued in IA
Legal business name
ELITE SPINAL REHAB, P.C
Practice address
2753 86TH St
Urbandale, IA 50322-4336
Phone
(515) 278-5940
Fax
(515) 278-1517
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Dr. Scott Ollin Richmond, D.C
Title
President
Phone
(515) 278-5940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06832 IA Primary

Addresses

Primary practice location

2753 86TH St
Urbandale, IA 50322-4336

Mailing address

2753 86TH St
Urbandale, IA 50322-4336
Phone (515) 278-5940

National Provider Directory

National Provider Directory

Locations

2753 86th St
Urbandale, IA 50322
Phone (515) 226-7888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1386882983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224336",
            "telephone_number": "515-278-5940",
            "fax_number": "515-278-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224336",
            "telephone_number": "515-278-5940",
            "fax_number": "515-278-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINAL REHAB, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "OLLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-278-5940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06832",
            "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 Feb 4, 2009; 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.