Individual provider Active NPI

Victoria Tlach, D.C.

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1730511189
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007546 Issued in IA
Practice address
1710 W 1St St
Ankeny, IA 50023-2526
Phone
(515) 964-3000
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007546 IA Primary

Addresses

Primary practice location

1710 W 1St St
Ankeny, IA 50023-2526

Mailing address

4716 Hutchison St
Unit 1
Ames, IA 50014-3676
Phone (847) 212-5958

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160812002282 IA Practitioner - Chiropractic 0345534384 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
Waukee Wellness and Chiropractic, PCGroup PAC ID 3072691955, 2 clinicians

Practice addresses (Care Compare)

710 SE Alices Rd
Waukee, IA 50263-9646
Phone (515) 978-6661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007546IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Waukee Wellness & Chiropractic, PC Chiropractor CurrentSince Jun 22, 2024 Accepting new patients
Midwest Chiropractic & Rehabilitation Centre Chiropractor PastSince Jun 22, 2024 Accepting new patients

Locations

710 SE Alices Rd
Waukee, IA 50263
Phone (515) 978-6661

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": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1730511189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 HUTCHISON ST",
            "address_2": "UNIT 1",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500143676",
            "telephone_number": "847-212-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W 1ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232526",
            "telephone_number": "515-964-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TLACH",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.