Organization Active NPI

Kasperbauer Chiropractic

  • Chiropractor
  • Windsor Heights, IA
National Provider Identifier
1992058341
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A5174 Issued in IA
Legal business name
KASPERBAUER CHIROPRACTIC
Practice address
1239 73Rd St
Ste. K
Windsor Heights, IA 50324-1339
Phone
(515) 274-4444
Fax
(515) 274-2473
NPI assigned
Oct 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Roger J Kasperbauer
Title
Owner
Phone
(515) 274-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A5174 IA Primary

Addresses

Primary practice location

1239 73Rd St
Ste. K
Windsor Heights, IA 50324-1339

Mailing address

1239 73Rd St
Ste. K
Windsor Heights, IA 50324-1339
Phone (515) 274-4444

Other identifiers 2

IdentifierTypeStateIssuer
0258038MedicaidIA
25803OtherIAWELLMARK BC/BS

National Provider Directory

National Provider Directory

Locations

1239 73rd St
Ste K
Windsor Heights, IA 50324
Phone (515) 274-4444

Practitioners & affiliated clinicians

Practitioners 1

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": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1992058341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 73RD ST",
            "address_2": "STE. K",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241339",
            "telephone_number": "515-274-4444",
            "fax_number": "515-274-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 73RD ST",
            "address_2": "STE. K",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241339",
            "telephone_number": "515-274-4444",
            "fax_number": "515-274-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASPERBAUER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "KASPERBAUER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-274-4444"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A5174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0258038",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "25803",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Heights, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.