Active NPI
Elbert Chiropractic Clinic PC
- Chiropractor
- Ames, IA
National Provider Identifier
1427017037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4631
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15559 | Other | IA | BCBS PROVIDER NUMBER |
| 0155598 | Medicaid | IA |
National Provider Directory
National Provider DirectoryNPI 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.