Active NPI
Rebecca J. Swella Smedsrud, D.C.
- Chiropractor
- Decorah, IA
National Provider Identifier
1811977473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05780
- Practice address
- 810 S Mechanic St
Decorah, IA 52101-2146 - Phone
- (563) 382-3801
- Fax
- (563) 387-0004
- NPI assigned
- Jan 19, 2006
- Last updated
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | A05780 | IA | Primary |
Addresses
Primary practice location
810 S Mechanic St
Decorah, IA 52101-2146
Mailing address
810 S Mechanic St
Decorah, IA 52101-2146
Phone (563) 382-3801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15201 | Other | WELLMARK I.D. NO. | |
| A05780 | Other | IA | CHIROPRACTIC LICENSE NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
810 S Mechanic St
Decorah, IA 52101-2146
Phone (563) 382-3801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A05780 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swella Clinic of Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
Locations
810 S Mechanic St
Decorah, IA 52101
Phone (563) 382-3801
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Decorah, IA
- NPI 1063675809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1811977473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 S MECHANIC ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012146",
"telephone_number": "563-382-3801",
"fax_number": "563-387-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 S MECHANIC ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012146",
"telephone_number": "563-382-3801",
"fax_number": "563-387-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWELLA SMEDSRUD",
"first_name": "REBECCA",
"middle_name": "J.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A05780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK I.D. NO.",
"identifier": "15201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE NO.",
"identifier": "A05780",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.