Individual provider Active NPI

Stephanie Ann Uthoff, D.C.

  • Chiropractor
  • Amana, IA
National Provider Identifier
1467797647
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007608 Issued in IA
Practice address
606 39TH Ave
Amana, IA 52203-8016
Phone
(319) 622-3322
Fax
(319) 622-3323
NPI assigned
Nov 29, 2012
Last updated
Sep 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007608 IA Primary

Addresses

Primary practice location

606 39TH Ave
Amana, IA 52203-8016

Mailing address

606 39TH Ave
Amana, IA 52203-8016
Phone (319) 622-3322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130130000316 IA Practitioner - Chiropractic 6002060902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uthoff Family Chiropractic PCGroup PAC ID 3870747769, 2 clinicians

Practice addresses (Care Compare)

510 39TH Ave
Amana, IA 52203-8016

606 39TH Ave
Amana, IA 52203-8016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007608IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Uthoff Family Chiropractic, PC Chiropractor CurrentSince Jan 1, 2013 Accepting new patients

Locations

510 39th Ave
Amana, IA 52203
Phone (319) 622-3322

606 39th Ave
Amana, IA 52203
Phone (319) 622-3195

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": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1467797647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 39TH AVE",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038016",
            "telephone_number": "319-622-3322",
            "fax_number": "319-622-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 39TH AVE",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038016",
            "telephone_number": "319-622-3322",
            "fax_number": "319-622-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTHOFF",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amana, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.