Individual provider Active NPI

Alexandra Cameron Radzville, DC

  • Chiropractor
  • Altoona, IA
National Provider Identifier
1427763986
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
118138 Issued in IA
Practice address
116 1St Ave N
Altoona, IA 50009-1425
Phone
(515) 967-5102
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 118138 IA Primary

Addresses

Primary practice location

116 1St Ave N
Altoona, IA 50009-1425

Mailing address

5670 San Antonio Dr
Howell, MI 48855-7279
Phone (517) 375-5326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230228000557 IA Practitioner - Chiropractic 3971976655 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118138IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inside Out Chiropractic PLC Chiropractor CurrentSince Feb 1, 2023 Accepting new patients

Locations

116 1st Ave N
Ste B
Altoona, IA 50009
Phone (515) 468-8904

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1427763986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 SAN ANTONIO DR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488557279",
            "telephone_number": "517-375-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 1ST AVE N",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091425",
            "telephone_number": "515-967-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADZVILLE",
        "first_name": "ALEXANDRA",
        "middle_name": "CAMERON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "118138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.