Organization Active NPI

Stromgren Chiropractic PA

  • Chiropractor
  • Glenwood, IA
National Provider Identifier
1801018452
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6527 Issued in IA
Legal business name
STROMGREN CHIROPRACTIC PA
Practice address
24 North Walnut
Glenwood, IA 51534
Phone
(712) 527-9880
Fax
(712) 527-3737
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Tracy A. Stromgren, D.C.NPI 1689749806
Title
Owner
Phone
(712) 527-9880

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6527 IA Primary

Addresses

Primary practice location

24 North Walnut
Glenwood, IA 51534

Mailing address

24 North Walnut
Glenwood, IA 51534
Phone (712) 527-9880

Other identifiers 2

IdentifierTypeStateIssuer
0270983MedicaidIA
30341OtherIABLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405001659 IA Part B Supplier - Clinic/Group Practice 9931192028 Receives reassigned benefits from 1 practitioner
Practice locations: Glenwood, IA

National Provider Directory

National Provider Directory

Locations

24 N Walnut St
Glenwood, IA 51534
Phone (712) 527-9880

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1801018452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NORTH WALNUT",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "51534",
            "telephone_number": "712-527-9880",
            "fax_number": "712-527-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORTH WALNUT",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "51534",
            "telephone_number": "712-527-9880",
            "fax_number": "712-527-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROMGREN CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "STROMGREN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-527-9880",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "6527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270983",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "30341",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.