Individual provider Active NPI

Amber Rose Streff, D.C.

  • Chiropractor
  • Council Bluffs, IA
National Provider Identifier
1457520405
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007334 Issued in IA
Practice address
20 Power Drive Suite #1
Council Bluffs, IA 51501
Phone
(712) 366-1611
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1507 NE
Chiropractor 111N00000X 007334 IA Primary

Addresses

Primary practice location

20 Power Drive Suite #1
Council Bluffs, IA 51501

Mailing address

20 Power Drive Suite #1
Council Bluffs, IA 51501
Phone (712) 366-1611

Other names 1

  • Amber Rose Rutt Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000124 IA Practitioner - Chiropractic 1153490495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mouw Chiropractic and Spinal Rehabilitation Center PCGroup PAC ID 3173580115, 5 clinicians

Practice addresses (Care Compare)

20 Power Dr
Suite 1
Council Bluffs, IA 51501-7701
Phone (712) 366-1611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007334IAMDChiropractor
1507NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mouw Chiropractic & Spinal Rehabilitation Center, P.C. Chiropractor CurrentSince Jun 30, 2010 Accepting new patients
Cornerstone Chiropractic Inc. Chiropractor Past Accepting new patients

Locations

20 Power Dr
Ste 1
Council Bluffs, IA 51501
Phone (712) 366-1611

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1457520405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 POWER DRIVE SUITE #1",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51501",
            "telephone_number": "712-366-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 POWER DRIVE SUITE #1",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51501",
            "telephone_number": "712-366-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREFF",
        "first_name": "AMBER",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1507",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "RUTT",
            "middle_name": "ROSE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.