Active NPI
Kevin L Utech, D.C.
- Chiropractor
- Grinnell, IA
National Provider Identifier
1548260524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06792
- Practice address
- 629 West St S
Ste 300
Grinnell, IA 50112-8103 - Phone
- (641) 236-8000
- Fax
- (641) 236-8001
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- 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 | 06792 | IA | Primary |
Addresses
Primary practice location
629 West St S
Ste 300
Grinnell, IA 50112-8103
Mailing address
629 West St S
Suite 300
Grinnell, IA 50112-8103
Phone (641) 236-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39175 | Other | IA | BCBS OF IOWA PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
629 W St S
Suite 300
Grinnell, IA 50112-8176
Phone (641) 236-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06792 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utech Integrative Health, P.C. | Chiropractor | Current | Accepting new patients |
| Converge Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
629 West St S
Ste 300
Grinnell, IA 50112
Phone (641) 236-8000
603 6th Ave
Grinnell, IA 50112
Phone (641) 236-8988
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.
-
- Chiropractor
- Grinnell, IA
- NPI 1154863017
-
- Chiropractor
- Grinnell, IA
- NPI 1881213726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1548260524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 WEST ST S",
"address_2": "SUITE 300",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501128103",
"telephone_number": "641-236-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 WEST ST S",
"address_2": "STE 300",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501128103",
"telephone_number": "641-236-8000",
"fax_number": "641-236-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTECH",
"first_name": "KEVIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IOWA PROVIDER #",
"identifier": "39175",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grinnell, IA
- Carissa Leigh Tigges, ATC
- Jessica J Tokle, ARNP
- Total Rehab-Orthopedic and Sports Specialist, P.C.
- Utech Chiropractic Clinic, LLC
- Utech Integrative Health, P.C.
- Wendell L Utech, D.C.
- Melissa Vine, M.A., TEMPORARY LMHC
- Jordan Dean Vos, DPT/ATC
- Janet Louise Walker, LISW
- Walmart Inc. (Walmart Pharmacy 10-0647)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.