Organization Active NPI

Elbert Chiropractic Clinic PC

  • Chiropractor
  • Ames, IA
National Provider Identifier
1427017037
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4631 Issued in IA
Legal business name
ELBERT CHIROPRACTIC CLINIC PC
Practice address
622 Burnett Ave
Ames, IA 50010-6126
Phone
(515) 232-9075
Fax
(515) 232-4995
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard A Elbert, DC
Title
Owner/Chiropractor
Phone
(515) 232-9075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4631 IA Primary

Addresses

Primary practice location

622 Burnett Ave
Ames, IA 50010-6126

Mailing address

622 Burnett Ave
Ames, IA 50010-6126
Phone (515) 232-9075

Other identifiers 2

IdentifierTypeStateIssuer
15559OtherIABCBS PROVIDER NUMBER
0155598MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427017037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 BURNETT AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106126",
            "telephone_number": "515-232-9075",
            "fax_number": "515-232-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 BURNETT AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106126",
            "telephone_number": "515-232-9075",
            "fax_number": "515-232-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBERT CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELBERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "515-232-9075",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "4631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "15559",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155598",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.