Organization Active NPI

Atlas Orthogonal Chiropractic Clinic LC

  • Chiropractor
  • Storm Lake, IA
National Provider Identifier
1861584039
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ATLAS ORTHOGONAL CHIROPRACTIC CLINIC LC
Practice address
1515 E Lakeshore Dr
Storm Lake, IA 50588-2677
Phone
(712) 732-8527
Fax
(712) 732-8527
NPI assigned
Sep 28, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Christina E. Heitman, D.C.
Title
Partner
Phone
(712) 732-8527

National Provider Directory

National Provider Directory

Locations

323 W Milwaukee Ave
Ste 1
Storm Lake, IA 50588
Phone (712) 732-8527

1515 E Lakeshore Dr
Storm Lake, IA 50588
Phone (712) 732-8527

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1515 E Lakeshore Dr
Storm Lake, IA 50588-2677

Mailing address

PO Box 739
Storm Lake, IA 50588-0739
Phone (712) 732-8527

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0190959MedicaidIA
48819OtherIABLUE CROSS BLUE SHIELD GR

Other names 1

NPPES NPI Registry
  • Atlas Chiropractic and Massage Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2024.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1861584039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505880739",
            "telephone_number": "712-732-8527",
            "fax_number": "712-732-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E LAKESHORE DR",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882677",
            "telephone_number": "712-732-8527",
            "fax_number": "712-732-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS ORTHOGONAL CHIROPRACTIC CLINIC LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "HEITMAN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "712-732-8527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190959",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GR",
            "identifier": "48819",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Chiropractic and Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.