Rooted Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ROOTED FAMILY CHIROPRACTIC, LLC

Practice address

96 Paine Cir Ste 3
Bondurant, IA 50035-1488

Phone

(304) 552-6064

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Dolin, DCNPI 1154973519

Title

Ceo

Phone

(304) 552-6064

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

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

• Brandon Dolin, DC

  • Chiropractor
  • Winterset, IA
  • NPI 1154973519
  Medicare reassignment Care Compare group NPD Authorized official
• Anne Louise Clendenen, DC

  • Chiropractor
  • Bondurant, IA
  • NPI 1841938321
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1003554635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 NE HAYES DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214557",
            "telephone_number": "304-552-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 PAINE CIR STE 3",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351488",
            "telephone_number": "304-552-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "DOLIN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-552-6064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Dawn Poffenberger, RN
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• Reil Performance, LLC
• Christopher William Reil
• Brant Jeremy Reyerson, MSPT, LAT, CSCS
• Jay Norman Rosenberger, DDS
• Mankapue Mamie Segrain
• Segrainllc
• Shelby Annis Sheehan, PMHNP-BC
• Ellen Marie Sneller, DDS

• Chiropractor in Bondurant, IA
• Providers in Bondurant, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.