NPIMap

Organization Active NPI

Wondra Family Chiropractic

  • Chiropractor
  • Fort Madison, IA
National Provider Identifier
1396715694
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06523 Issued in IA
Legal business name
WONDRA FAMILY CHIROPRACTIC
Practice address
724 Ave G
Fort Madison, IA 52627-2927
Phone
(319) 372-7898
Fax
(319) 372-5232
NPI assigned
Jan 26, 2006
Last updated
Dec 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Dr. Lauri L Wondra, DCNPI 1235100710
Title
Owner
Phone
(319) 372-7898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 06523 IA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 06602 IA

Addresses

Primary practice location

724 Ave G
Fort Madison, IA 52627-2927

Mailing address

724 Ave G
Fort Madison, IA 52627-2927
Phone (319) 372-7898

Other identifiers 2

IdentifierTypeStateIssuer
19789OtherBLUE CROSS BS WELLMARK
525812OtherIOWA HEALTH SOLUTIONS

National Provider Directory

National Provider Directory

Locations

724 Avenue G
Fort Madison, IA 52627
Phone (319) 372-7898

819 Avenue G
Fort Madison, IA 52627
Phone (319) 372-7898

Practitioners & affiliated clinicians

Practitioners 1

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1396715694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 AVE G",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526272927",
            "telephone_number": "319-372-7898",
            "fax_number": "319-372-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 AVE G",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526272927",
            "telephone_number": "319-372-7898",
            "fax_number": "319-372-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDRA FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "WONDRA",
        "authorized_official_first_name": "LAURI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-372-7898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06523",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06602",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS WELLMARK",
            "identifier": "19789",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA HEALTH SOLUTIONS",
            "identifier": "525812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Madison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.