Kadlec

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1124 Issued in SD

Legal business name

KADLEC

Doing business as

Active Care Chiropractic

Practice address

615 TH Hwy 12
Ipswich, SD 57451-0314

Phone

(605) 426-6063

Fax

(605) 426-6304

NPI assigned

Jan 7, 2008

Last updated

Feb 10, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nathan Kadlec, D.C.NPI 1497937882

Title

Owner/President

Phone

(605) 426-6063

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Active Care Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Kadlec, DC

  • Chiropractor
  • Ipswich, SD
  • NPI 1497937882
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1922283118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "IPSWICH",
            "state": "SD",
            "postal_code": "574510314",
            "telephone_number": "605-426-6063",
            "fax_number": "605-426-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 TH HWY 12",
            "city": "IPSWICH",
            "state": "SD",
            "postal_code": "574510314",
            "telephone_number": "605-426-6063",
            "fax_number": "605-426-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADLEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "KADLEC",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "605-426-6063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "D01372",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Care Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lacey Lynn Galbraith, PT
• Ipswich Care and Rehabilitation Center LLC (Ipswich Care and Rehabilitation Center)
• Ipswich Public School District #22-6
• Ipswich SD Skilled Nursing Facility LLC (Avantara Ipswich)
• Melissa Ann Jorgenson, PTA
• Nathan Kadlec, DC
• Mary M Ludwig
• Sanford Health Network (Sanford Ipswich Clinic)
• June Renee Torrence-Heinz, PA-C

• Chiropractor in Ipswich, SD
• Providers in Ipswich, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.