Active NPI
Keith R Slaymaker, DC
- Chiropractor
- Cedar Rapids, IA
National Provider Identifier
1801854518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- IA06531
- Practice address
- 1803 1St Ave SE
Cedar Rapids, IA 52402-5434 - Phone
- (319) 363-2566
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IA06531 | IA | Primary |
Addresses
Primary practice location
1803 1St Ave SE
Cedar Rapids, IA 52402-5434
Mailing address
1803 1St Ave SE
Cedar Rapids, IA 52402-5434
Phone (319) 363-2566
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0286039 | Medicaid | IA | |
| 30557 | Other | IA | WELLMARK BCBS |
| 371458044 | Other | US GOV TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06531 | IA | MD | Social Worker |
| IA06531 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health & Wellness Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Cedar Rapids, IA
- NPI 1124464029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1801854518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 1ST AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025434",
"telephone_number": "319-363-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 1ST AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025434",
"telephone_number": "319-363-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAYMAKER",
"first_name": "KEITH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "IA06531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0286039",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "30557",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US GOV TAX ID #",
"identifier": "371458044",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.