Hollie Lynn Radig, DC
Individual provider Active NPI Chiropractor · Urbandale, IA
NPI 1851935985 · NPPES record last updated Oct 31, 2019
Key facts
- NPI
- 1851935985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 097649 (IA)
- Practice address
- 9400 Plum Dr Ste 140
Urbandale, IA 50322-6242 - Phone
- (515) 422-4979
- NPI assigned
- Oct 31, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland University of Medicine and Surgery - NLG, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9400 Plum Dr
Suite 140
Urbandale, IA 50322-6242
Phone (515) 410-1075
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200313000884 | IA | Practitioner - Chiropractic | 3870920465 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Well Chiropractic, LLC | Chiropractor | Current |
Accepting new patients |
| Advanced Chiropractic Urbandale PLLC | Chiropractor | Current |
Accepting new patients |
Locations
9400 Plum Dr
Ste 140
Urbandale, IA 50322
Phone (515) 410-1075
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 097649 | IA | Yes |
Addresses
Primary practice location
9400 Plum Dr Ste 140
Urbandale, IA 50322-6242
Mailing address
14205 Aurora Ave
Urbandale, IA 50323-2687
Phone (515) 422-4979
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.