Organization Active NPI

Mediapolis Chiropractic Center, PLLC

  • Health Service Clinic/Center
  • Mediapolis, IA
National Provider Identifier
1720420409
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
007590 Issued in IA
Legal business name
MEDIAPOLIS CHIROPRACTIC CENTER, PLLC
Practice address
214 Wapello St N
Mediapolis, IA 52637-4900
Phone
(319) 394-9120
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Dr. Aaron Roelfs, D.C.NPI 1669726410
Title
Co-Owner
Phone
(319) 394-9120

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
Health Service Clinic/Center 261QH0100X 007590 IA Primary

Addresses

Primary practice location

214 Wapello St N
Mediapolis, IA 52637-4900

Mailing address

214 Wapello St N
Mediapolis, IA 52637-4900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131017001093 IA Part B Supplier - Clinic/Group Practice 7911131321 Receives reassigned benefits from 4 practitioners
Practice locations: Mediapolis, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1720420409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WAPELLO ST N",
            "city": "MEDIAPOLIS",
            "state": "IA",
            "postal_code": "526374900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WAPELLO ST N",
            "city": "MEDIAPOLIS",
            "state": "IA",
            "postal_code": "526374900",
            "telephone_number": "319-394-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIAPOLIS CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "ROELFS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "319-394-9120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IA",
            "license": "007590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mediapolis, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.