Prairie Life Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007606 Issued in IA

Legal business name

PRAIRIE LIFE CHIROPRACTIC P.C.

Practice address

715 S Main Ave
Sioux Center, IA 51250-1349

Phone

(712) 717-5101

Fax

(712) 717-5102

NPI assigned

Dec 6, 2012

Last updated

Nov 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derek Lee Kosters, D.C.NPI 1205171915

Title

President

Phone

(712) 717-5101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derek Lee Kosters, D.C.

  • Chiropractor
  • Sioux Center, IA
  • NPI 1205171915
  Medicare reassignment NPD Authorized official
• Timothy J Hartokolis, P.T.

  • Physical Therapist
  • Sheldon, IA
  • NPI 1649297177
  NPD (past)
• Laura Ann Herman, P.T.

  • Physical Therapist
  • Sioux Center, IA
  • NPI 1114935608
  NPD (past)
• Kendra Scheidt, P.T.

  • Physical Therapist
  • Sioux Center, IA
  • NPI 1366466468
  NPD (past)
• Jerry L Zomermaand, P.T.

  • Orthopedic Physical Therapist
  • Sioux Center, IA
  • NPI 1346276714
  NPD (past)

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1639414386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S MAIN AVE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501349",
            "telephone_number": "712-717-5101",
            "fax_number": "712-717-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S MAIN AVE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501349",
            "telephone_number": "712-717-5101",
            "fax_number": "712-717-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE LIFE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "KOSTERS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-717-5101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul W Beaver OD PC
• Anthony G Peters, PA-C
• Darlene Pieper
• Nicola Jane Pike, DPM
• Jennifer L Plathe, LMSW
• Proactive Physical Therapy & Sports Rehab, Inc
• Tho Profera, PHARMD
• Stephanie Anne Raih
• Mary Yvonne Rayborn, MD
• Renew Counseling LLC

• Chiropractor in Sioux Center, IA
• Providers in Sioux Center, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.