Active NPI
Dean Herman Pingel, DC
- Chiropractor
- Spencer, IA
National Provider Identifier
1104905413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04302
- Practice address
- 19 10TH St SW
Spencer, IA 51301-1185 - Phone
- (712) 262-4315
- Fax
- (712) 262-4470
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04302 | IA | Primary |
Addresses
Primary practice location
19 10TH St SW
Spencer, IA 51301-1185
Mailing address
PO Box 1185
19 10TH St SW
Spencer, IA 51301-1185
Phone (712) 262-4315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094987 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04302 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104905413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1185",
"address_2": "19 10TH ST SW",
"city": "SPENCER",
"state": "IA",
"postal_code": "513011185",
"telephone_number": "712-262-4315",
"fax_number": "712-262-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 10TH ST SW",
"city": "SPENCER",
"state": "IA",
"postal_code": "513011185",
"telephone_number": "712-262-4315",
"fax_number": "712-262-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINGEL",
"first_name": "DEAN",
"middle_name": "HERMAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "04302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094987",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.