NPIMap

Organization Active NPI

Kellie K. Hoover, DC, PC

Doing business as Iowa Family Chiropractic

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1942447552
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007116 Issued in IA
Legal business name
KELLIE K. HOOVER, DC, PC
Doing business as
Iowa Family Chiropractic
Practice address
1906 Ingersoll Ave
Des Moines, IA 50309-3321
Phone
(515) 225-2237
Fax
(515) 225-7067
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Dr. Kellie K Hoover, D.C., C.C.E.P.NPI 1952555831
Title
Owner
Phone
(515) 321-8801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007116 IA Primary

Addresses

Primary practice location

1906 Ingersoll Ave
Des Moines, IA 50309-3321

Mailing address

1906 Ingersoll Ave
Des Moines, IA 50309-3321
Phone (515) 225-2237

Other names 1

  • Iowa Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090618000415 IA Part B Supplier - Clinic/Group Practice 1759431422 Receives reassigned benefits from 3 practitioners
Practice locations: Des Moines, IA

National Provider Directory

National Provider Directory

Locations

1906 Ingersoll Ave
Des Moines, IA 50309
Phone (515) 225-2237

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1942447552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093321",
            "telephone_number": "515-225-2237",
            "fax_number": "515-225-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093321",
            "telephone_number": "515-225-2237",
            "fax_number": "515-225-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLIE K. HOOVER, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-321-8801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.E.P."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.