Organization Active NPI

Luellen Chiropractic, LLC

  • Chiropractor
  • Adel, IA
National Provider Identifier
1689856080
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06209 Issued in IA
Legal business name
LUELLEN CHIROPRACTIC, LLC
Practice address
608 Greene St
Suite C
Adel, IA 50003-1827
Phone
(515) 993-1117
Fax
(515) 993-1118
NPI assigned
Nov 28, 2007
Last updated
Oct 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Dr. Jodi Kay Kuhse, D.C.NPI 1770659534
Title
Owner
Phone
(515) 993-1117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A06209 IA Primary

Addresses

Primary practice location

608 Greene St
Suite C
Adel, IA 50003-1827

Mailing address

608 Greene St
Suite C
Adel, IA 50003-1827
Phone (515) 993-1117

Other identifiers 1

IdentifierTypeStateIssuer
1196972MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050103000970 IA Part B Supplier - Clinic/Group Practice 3678531951 Receives reassigned benefits from 1 practitioner
Practice locations: Adel, IA

National Provider Directory

National Provider Directory

Locations

608 Greene St
Ste C
Adel, IA 50003
Phone (515) 993-1117

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1689856080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 GREENE ST",
            "address_2": "SUITE C",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031827",
            "telephone_number": "515-993-1117",
            "fax_number": "515-993-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 GREENE ST",
            "address_2": "SUITE C",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031827",
            "telephone_number": "515-993-1117",
            "fax_number": "515-993-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUELLEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "KUHSE",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-993-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1196972",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adel, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.