Individual provider Active NPI

Eric M Rottinghaus, DC

  • Chiropractor
  • Waterloo, IA
National Provider Identifier
1083601322
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06518 Issued in IA
Practice address
40 Brookeridge Dr
Waterloo, IA 50701-5214
Phone
(319) 232-2100
Fax
(319) 232-6389
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06518 IA Primary

Addresses

Primary practice location

40 Brookeridge Dr
Waterloo, IA 50701-5214

Mailing address

1104 220TH St
Jesup, IA 50648-9425
Phone (319) 827-2223

Other practice location 1

1104 220th St
Jesup, IA 50648-9425
Phone (319) 827-2223

Other identifiers 2

IdentifierTypeStateIssuer
242108OtherIAMIDLANDS CHOICE
0419382MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061110000350 IA Practitioner - Chiropractic 5991703761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Chiropractic Centers PCGroup PAC ID 1850542572, 3 clinicians

Practice addresses (Care Compare)

1104 220TH St
Jesup, IA 50648-9425
Phone (319) 827-2223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06518IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rottinghaus Chiropractic Centers Chiropractor CurrentSince Jun 8, 2007 Accepting new patients
Summit Chiropractic Centers, PC Chiropractor CurrentSince Sep 10, 2012 Accepting new patients
Ebert Chiropractic Clinic Chiropractor Past Accepting new patients
Ebert Chiropractic Clinic PC Chiropractor PastSince Jul 25, 2007 Accepting new patients

Locations

1104 220th St
#C
Jesup, IA 50648
Phone (319) 827-2223

1104 220th St
Jesup, IA 50648
Phone (319) 232-2100

40 Brookeridge Dr
Waterloo, IA 50701
Phone (319) 232-2100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083601322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 220TH ST",
            "city": "JESUP",
            "state": "IA",
            "postal_code": "506489425",
            "telephone_number": "319-827-2223",
            "fax_number": "319-827-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BROOKERIDGE DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015214",
            "telephone_number": "319-232-2100",
            "fax_number": "319-232-6389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 220th St",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "IA",
            "postal_code": "506489425",
            "country_code": "US",
            "telephone_number": "319-827-2223",
            "fax_number": "319-827-2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTTINGHAUS",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "242108",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419382",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.