Individual provider Active NPI

Debra Ann Ulrich, D.C.

  • Chiropractor
  • Ida Grove, IA
National Provider Identifier
1831539162
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007610 Issued in IA
Practice address
616 2ND St
Ida Grove, IA 51445-1012
Phone
(712) 364-2508
Fax
(712) 364-2198
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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 007610 IA Primary

Addresses

Primary practice location

616 2ND St
Ida Grove, IA 51445-1012

Mailing address

616 2ND St
Ida Grove, IA 51445-1012
Phone (712) 364-2508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131008001175 IA Practitioner - Chiropractic 1456585330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ida Family Chiropractic IncorporatedGroup PAC ID 1850510264, 2 clinicians

Practice addresses (Care Compare)

616 2ND St
Ida Grove, IA 51445-1012
Phone (712) 364-2508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ida Family Chiropractic Incorporated Chiropractor CurrentSince Aug 1, 2014 Accepting new patients

Locations

616 2nd St
Ida Grove, IA 51445
Phone (712) 364-2508

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.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1831539162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451012",
            "telephone_number": "712-364-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451012",
            "telephone_number": "712-364-2508",
            "fax_number": "712-364-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ida Grove, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.