Paul William Kerkhoff, D.C.
Individual provider Active NPI Chiropractor · Waukee, IA
NPI 1093711541 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1093711541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- A05677 (IA)
- Practice address
- 260 Highway 6
Waukee, IA 50263-5004 - Phone
- (515) 987-4747
- Fax
- (515) 987-4261
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
260 W Hickman Rd
Waukee, IA 50263-5004
Phone (515) 987-4747
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100910000065 | IA | Practitioner - Chiropractic | 9436141827 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A05677 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kerkhoff Chiropractic Inc | Chiropractor | Current |
Accepting new patients |
Locations
260 W Hickman Rd
Waukee, IA 50263
Phone (515) 987-4747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A05677 | IA | Yes |
Addresses
Primary practice location
260 Highway 6
Waukee, IA 50263-5004
Mailing address
260 W Hickman Rd
Waukee, IA 50263-5004
Phone (515) 987-4747
Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.