Active NPI
Thomas J. Orth, D.C.P.C.
- Chiropractor
- Council Bluffs, IA
National Provider Identifier
1548453020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I7582 | Other | IA | MEDICARE |
| 0415513 | Medicaid | IA | |
| 25932 | Other | WELLMARK BCBS | |
| 1259325 | Medicaid | IA | |
| I7581 | Other | IA | MEDICARE |
| DG1488 | Other | RR MEDICARE GROUP |
Other names 1
- Orth Chiropractic
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Council Bluffs, IA
- NPI 1538695325
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.