Active NPI
Kelli S. Confer, D.C.
- Chiropractor
- Red Oak, IA
National Provider Identifier
1619981610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06364
- Practice address
- 404 N 5TH St
Red Oak, IA 51566-2323 - Phone
- (712) 623-3526
- Fax
- (712) 623-6348
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- 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 | 06364 | IA | Primary |
Addresses
Primary practice location
404 N 5TH St
Red Oak, IA 51566-2323
Mailing address
404 N 5TH St
P.O. Box 407
Red Oak, IA 51566-2323
Phone (712) 623-3526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231944 | Other | IA | MIDLANDS CHOICE |
| 24813 | Other | IA | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051021000286 | IA | Practitioner - Chiropractic | 6608892369 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
404 N 5TH St
Red Oak, IA 51566-2323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1619981610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 N 5TH ST",
"address_2": "P.O. BOX 407",
"city": "RED OAK",
"state": "IA",
"postal_code": "515662323",
"telephone_number": "712-623-3526",
"fax_number": "712-623-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N 5TH ST",
"city": "RED OAK",
"state": "IA",
"postal_code": "515662323",
"telephone_number": "712-623-3526",
"fax_number": "712-623-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONFER",
"first_name": "KELLI",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "231944",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "24813",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Oak, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.