Spencer Chiropractic & Wellness Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007136 Issued in IA

Legal business name

SPENCER CHIROPRACTIC & WELLNESS CENTER PC

Practice address

1025 5TH Ave SE
Spencer, IA 51301-6004

Phone

(712) 580-3294

Fax

(844) 832-6407

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Leah Malmstrom, D.C.NPI 1336270255

Title

President

Phone

(712) 580-3294

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leah Marie Malmstrom, D.C.

  • Chiropractor
  • Spencer, IA
  • NPI 1336270255
  Medicare reassignment Care Compare group NPD Authorized official
• Lee Daniel Malmstrom, D.C.

  • Chiropractor
  • Spencer, IA
  • NPI 1124187117
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1780015024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 5TH AVE SE",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513016004",
            "telephone_number": "712-580-3294",
            "fax_number": "844-832-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 5TH AVE SE",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513016004",
            "telephone_number": "712-580-3294",
            "fax_number": "844-832-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER CHIROPRACTIC & WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "MALMSTROM",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-580-3294",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007136",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04383",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick James Slattery, M.D.
• Emily Sliefert, MS
• Carrie Lynne Sloan, DPT
• Jason William Smith, PSY.D.
• Spencer C.S.D.
• Spencer Convenient Healthcare LLC
• Spencer Imaging Center, LLC
• Spencer Municipal Hospital
• Spencer Municipal Hospital
• Spencer Municipal Hospital

• Chiropractor in Spencer, IA
• Providers in Spencer, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.