Timothy William Redenbaugh, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A06093 Issued in IA

Practice address

800 Oneida St
Suite B2
Storm Lake, IA 50588-3209

Phone

(712) 732-3349

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Redenbaugh Chiropractic PC

  • Chiropractor
  • Storm Lake, IA
  • NPI 1356508394
  Medicare reassignment NPD
• Storm Lake Medical, P.C.

  • Nurse Practitioner
  • Storm Lake, IA
  • NPI 1457898801
  NPD Authorized official

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1093773780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 E 1ST ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ONEIDA ST",
            "address_2": "SUITE B2",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505883209",
            "telephone_number": "712-732-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDENBAUGH",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176271",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Howard Pymm, D.O.
• Ashley Quade
• Radiology Consults, P.C.
• Derrick Randall, OD
• Redenbaugh Chiropractic PC
• Renal Center of Storm Lake, LLC (Renal Center of Storm Lake)
• San Juana San Rodriguez
• Bradley G Rohwer, PT
• Melissa Ann Roose Raasch, RPH.
• Kaleb Roth

• Chiropractor in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.