Earlham Family Chiropractic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EARLHAM FAMILY CHIROPRACTIC, LLC

Practice address

115 W 1St Street
Earlham, IA 50072

Phone

(515) 805-7619

NPI assigned

Sep 2, 2022

Organization subpart

No

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

Authorized official

Name

Alexandrea K Perry, DCNPI 1851907307

Title

Owner

Phone

(515) 805-7619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 3

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

• Alexandrea Kasap Perry, DC

  • Chiropractor
  • Earlham, IA
  • NPI 1851907307

  IA, Single Specialty

  Medicare reassignment NPD Authorized official
• Whitney Dawson, D.C.

  • Chiropractor
  • Winterset, IA
  • NPI 1932632551
  NPD
• Mark J Den Hartog, DC

  • Chiropractor
  • Eugene, OR
  • NPI 1023081155
  NPD (past)

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1407576937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "EARLHAM",
            "state": "IA",
            "postal_code": "500720073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 1ST STREET",
            "city": "EARLHAM",
            "state": "IA",
            "postal_code": "50072",
            "telephone_number": "515-805-7619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W 1st Street",
            "address_purpose": "LOCATION",
            "city": "Ealrham",
            "state": "IA",
            "postal_code": "50072",
            "country_code": "US",
            "telephone_number": "515-805-7619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EARLHAM FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ALEXANDREA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-805-7619",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coppinger Dental Group LLC
• Heather Diersen
• Dr. Richard C. Apodaca, PC
• Stephanie Duff, RN
• Earlham Community School
• Erin Howe, DNP
• Mark Jobst, RPH
• Sheree Landers, R.N.
• Madison County Memorial Hospital
• Montross Pharmacy,Inc

• All providers in Earlham, IA
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.