Individual provider Active NPI

Jamey J Errthum, DC

  • Chiropractor
  • Kalona, IA
National Provider Identifier
1720055080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06080 Issued in IA
Practice address
412 C Ave
Kalona, IA 52247-9742
Phone
(319) 656-2085
Fax
(319) 656-2085
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A06080 IA Primary

Addresses

Primary practice location

412 C Ave
Kalona, IA 52247-9742

Mailing address

PO Box 356
Kalona, IA 52247-0356
Phone (319) 656-2085

Other identifiers 2

IdentifierTypeStateIssuer
48215OtherIABC/BS
2163204MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422001128 IA Practitioner - Chiropractic 6406894070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

412 C Ave
Kalona, IA 52247-9742
Phone (319) 656-2085

PO Box
Suite 356
Kalona, IA 52247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A06080IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Errthum Health Care Services, Inc. Chiropractor CurrentSince Aug 1, 2005 Accepting new patients
Fuelling Chiropractic Clinic PC Chiropractor PastSince Jan 1, 2002 Accepting new patients

Organizations & group practices 2

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720055080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "KALONA",
            "state": "IA",
            "postal_code": "522470356",
            "telephone_number": "319-656-2085",
            "fax_number": "319-656-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 C AVE",
            "city": "KALONA",
            "state": "IA",
            "postal_code": "522479742",
            "telephone_number": "319-656-2085",
            "fax_number": "319-656-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERRTHUM",
        "first_name": "JAMEY",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "48215",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2163204",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.