Individual provider Active NPI

Alex James Anthofer, D.C.

  • Chiropractor
  • Nashua, IA
National Provider Identifier
1609204510
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007717 Issued in IA
Practice address
12 Woodbridge St
Nashua, IA 50658-7772
Phone
(641) 435-2102
NPI assigned
Oct 31, 2013
Last updated
May 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007717 IA Primary

Addresses

Primary practice location

12 Woodbridge St
Nashua, IA 50658-7772

Mailing address

12 Woodbridge St
Nashua, IA 50658-7772
Phone (641) 435-2102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212000651 IA Practitioner - Chiropractic 6103055231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Woodbridge St
Nashua, IA 50658-7772
Phone (641) 435-2102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nashua Family Chiropractic PC Chiropractor CurrentSince May 30, 2014 Accepting new patients
Nashua Family Chiropractic PC Chiropractor CurrentSince May 30, 2014 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Robert W. Fuelling, DC, PC Chiropractor Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1609204510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WOODBRIDGE ST",
            "city": "NASHUA",
            "state": "IA",
            "postal_code": "506587772",
            "telephone_number": "641-435-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WOODBRIDGE ST",
            "city": "NASHUA",
            "state": "IA",
            "postal_code": "506587772",
            "telephone_number": "641-435-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHOFER",
        "first_name": "ALEX",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-31",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.

Verify at the official NPI Registry.