Organization Active NPI

Donnellson Chiropractic Clinic, PC

  • Clinic/Center
  • Donnellson, IA
National Provider Identifier
1083850283
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
06716 Issued in IA
Legal business name
DONNELLSON CHIROPRACTIC CLINIC, PC
Practice address
616 Madison Ave
Donnellson, IA 52625-9453
Phone
(319) 835-9011
Fax
(319) 835-9012
NPI assigned
Dec 18, 2008
Last updated
Oct 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Dr. Rhonda Joy Maassen, D.C.NPI 1427004365
Title
Owner/President
Phone
(319) 835-9011

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
Clinic/Center 261Q00000X 06716 IA Primary

Addresses

Primary practice location

616 Madison Ave
Donnellson, IA 52625-9453

Mailing address

616 Madison Ave
Donnellson, IA 52625-9453
Phone (319) 835-9011

Other identifiers 4

IdentifierTypeStateIssuer
1427004365OtherIANPPES
IB1321001OtherIACMS
IB1321OtherIACMS
P00687137OtherIAPALMETTO GBA UTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090225000095 IA Part B Supplier - Clinic/Group Practice 9436214525 Receives reassigned benefits from 1 practitioner
Practice locations: Donnellson, IA

National Provider Directory

National Provider Directory

Locations

616 Madison Ave
Donnellson, IA 52625
Phone (319) 835-9011

402 4th St
West Point, IA 52656
Phone (319) 837-6339

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1083850283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 MADISON AVE",
            "city": "DONNELLSON",
            "state": "IA",
            "postal_code": "526259453",
            "telephone_number": "319-835-9011",
            "fax_number": "319-835-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 MADISON AVE",
            "city": "DONNELLSON",
            "state": "IA",
            "postal_code": "526259453",
            "telephone_number": "319-835-9011",
            "fax_number": "319-835-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNELLSON CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "MAASSEN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "319-835-9011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "06716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1427004365",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "IB1321001",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "IB1321",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA UTAN",
            "identifier": "P00687137",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Donnellson, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.