Jason Arndorfer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06614 Issued in IA

Practice address

12871 University Ave
Suite 110
Clive, IA 50325-8255

Phone

(515) 224-0050

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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.

• Simply Chiropractic LLC

  • Chiropractor
  • Clive, IA
  • NPI 1033451240

  IA

  Medicare reassignment Authorized official
• Boyson Chiropractic, P.C.

  • Chiropractor
  • Hiawatha, IA
  • NPI 1396072484
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 9, 2013.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1578587481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12871 UNIVERSITY AVE",
            "address_2": "SUITE 110",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258255",
            "telephone_number": "515-224-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12871 UNIVERSITY AVE",
            "address_2": "SUITE 110",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258255",
            "telephone_number": "515-224-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNDORFER",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "08307",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Benedict PLLC
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• Isabella Archer
• Brandon Reece Arkland, BCBA
• Susan Theresa Arland, LMHC
• Erin Elizabeth Baber, CST CSFA
• Donna J Bahls, M.D.
• Fariha Baig, DDS
• Balanced Psychiatry LLC
• Barnes Therapy Services, LLC

• All providers in Clive, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.