Active NPI
Erin E Komp, D.C
- Chiropractor
- Council Bluffs, IA
National Provider Identifier
1487948378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007417
- Practice address
- 40 Arena Way
Suite 1
Council Bluffs, IA 51501-7062 - Phone
- (712) 329-1863
- Fax
- (712) 323-1089
- NPI assigned
- Jun 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007417 | IA | Primary |
Addresses
Primary practice location
40 Arena Way
Suite 1
Council Bluffs, IA 51501-7062
Mailing address
40 Arena Way
Suite 1
Council Bluffs, IA 51501-7062
Phone (712) 329-1863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120221000777 | NE | Practitioner - Chiropractic | 2860650991 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5331 S 204TH Ave
Suite 2
Elkhorn, NE 68022-4385
Phone (531) 867-3720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007417 | IA | MD | Chiropractor |
| 1686 | NE | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Wellness Source of Omaha LLC | Chiropractor | Current | Accepting new patients |
| Total Care Chiropractic LTD | Chiropractor | Past | Accepting new patients |
| Millard Family Chiropractic of Papillion LLC | Chiropractor | Past | Accepting new patients |
Locations
5331 S 204th Ave
Ste 2
Elkhorn, NE 68022
Phone (531) 867-3720
Organizations & group practices 3
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.
-
- Chiropractor
- Elkhorn, NE
- NPI 1760092969
-
- Chiropractor
- Council Bluffs, IA
- NPI 1962533166
-
- Chiropractor
- Papillion, NE
- NPI 1942851100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1487948378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ARENA WAY",
"address_2": "SUITE 1",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515017062",
"telephone_number": "712-329-1863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ARENA WAY",
"address_2": "SUITE 1",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515017062",
"telephone_number": "712-329-1863",
"fax_number": "712-323-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMP",
"first_name": "ERIN",
"middle_name": "E",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-08",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 8, 2011; 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.