Individual provider Active NPI

Bradley Thomas Uthoff, D.C.

  • Chiropractor
  • Amana, IA
National Provider Identifier
1699010728
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007609 Issued in IA
Practice address
606 39TH Ave
Amana, IA 52203-8016
Phone
(319) 622-3322
Fax
(319) 622-3323
NPI assigned
Nov 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007609 IA Primary

Addresses

Primary practice location

606 39TH Ave
Amana, IA 52203-8016

Mailing address

606 39TH Ave
Amana, IA 52203-8016
Phone (319) 622-3322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130130000238 IA Practitioner - Chiropractic 3375797277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uthoff Family Chiropractic PCGroup PAC ID 3870747769, 2 clinicians

Practice addresses (Care Compare)

510 39TH Ave
Amana, IA 52203-8016

606 39TH Ave
Amana, IA 52203-8016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007609IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Uthoff Family Chiropractic, PC Chiropractor CurrentSince Jan 1, 2013 Accepting new patients

Locations

510 39th Ave
Amana, IA 52203
Phone (319) 622-3322

606 39th Ave
Amana, IA 52203
Phone (319) 622-3322

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": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1699010728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 39TH AVE",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038016",
            "telephone_number": "319-622-3322",
            "fax_number": "319-622-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 39TH AVE",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038016",
            "telephone_number": "319-622-3322",
            "fax_number": "319-622-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTHOFF",
        "first_name": "BRADLEY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amana, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.