Organization Active NPI

Thomas J. Orth, D.C.P.C.

  • Chiropractor
  • Council Bluffs, IA
National Provider Identifier
1548453020
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THOMAS J. ORTH, D.C.P.C.
Practice address
1702 W Broadway, Suite 7
Council Bluffs, IA 51501
Phone
(712) 323-0400
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Kandace K Orth
Title
Bus/Adm
Phone
(712) 323-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1702 W Broadway, Suite 7
Council Bluffs, IA 51501

Mailing address

1702 W Broadway, Suite 7
Council Bluffs, IA 51501
Phone (712) 323-0400

Other identifiers 6

IdentifierTypeStateIssuer
I7582OtherIAMEDICARE
0415513MedicaidIA
25932OtherWELLMARK BCBS
1259325MedicaidIA
I7581OtherIAMEDICARE
DG1488OtherRR MEDICARE GROUP

Other names 1

  • Orth Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

1720 N 16th St
Ste G
Council Bluffs, IA 51501
Phone (402) 980-1589

1702 W Broadway
Ste 7
Council Bluffs, IA 51501
Phone (402) 934-2282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1548453020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 W BROADWAY, SUITE 7",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51501",
            "telephone_number": "712-323-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 W BROADWAY, SUITE 7",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51501",
            "telephone_number": "712-323-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. ORTH, D.C.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "ORTH",
        "authorized_official_first_name": "KANDACE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUS/ADM",
        "authorized_official_telephone_number": "712-323-0400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "I7582",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415513",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "25932",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1259325",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "I7581",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DG1488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orth Chiropractic",
            "code": "5",
            "type": "Other 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 Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.