Organization Active NPI

Kerkhoff Chiropractic Inc

  • Chiropractor
  • Waukee, IA
National Provider Identifier
1699710061
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AO5677 Issued in IA
Legal business name
KERKHOFF CHIROPRACTIC INC
Practice address
260 W Hickman Rd
Waukee, IA 50263-5004
Phone
(515) 987-4747
Fax
(515) 987-4261
NPI assigned
Jun 18, 2006
Last updated
Feb 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Paul William Kerkhoff, DCNPI 1093711541
Title
President
Phone
(515) 987-4747

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 AO5677 IA Primary

Addresses

Primary practice location

260 W Hickman Rd
Waukee, IA 50263-5004

Mailing address

260 W Hickman Rd
Waukee, IA 50263-5004
Phone (515) 987-4747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402001287 IA Part B Supplier - Clinic/Group Practice 6800888280 Receives reassigned benefits from 1 practitioner
Practice locations: Waukee, IA

National Provider Directory

National Provider Directory

Locations

260 W Hickman Rd
Waukee, IA 50263
Phone (515) 987-4747

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1699710061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635004",
            "telephone_number": "515-987-4747",
            "fax_number": "515-987-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635004",
            "telephone_number": "515-987-4747",
            "fax_number": "515-987-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERKHOFF CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "KERKHOFF",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-987-4747",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "AO5677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.