DBMC LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A05898 Issued in IA

Legal business name

DBMC LLC

Practice address

417 W 4TH St
Saint Ansgar, IA 50472-1316

Phone

(641) 713-2168

Fax

(641) 713-3168

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

Denis John Boerjan, D.C.NPI 1699768655

Title

Chief Member

Phone

(507) 273-7236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

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.

• Denis Boerjan, D.C.

  • Chiropractor
  • Saint Ansgar, IA
  • NPI 1699768655
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1114321379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W 4TH ST",
            "address_2": "PO BOX 250",
            "city": "SAINT ANSGAR",
            "state": "IA",
            "postal_code": "504721316",
            "telephone_number": "641-713-2168",
            "fax_number": "641-713-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W 4TH ST",
            "city": "SAINT ANSGAR",
            "state": "IA",
            "postal_code": "504721316",
            "telephone_number": "641-713-2168",
            "fax_number": "641-713-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBMC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "BOERJAN",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF MEMBER",
        "authorized_official_telephone_number": "507-273-7236",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "A05898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lane Allen Ballandby, RPH
• Lisa Renee Bindel, COTA
• Denis Boerjan, D.C.
• Brower Drug Co
• Cedar Dental PC
• Denis Boerjan, LLC (Advance Chiropractic & Spa)
• Denis Boerjan, LLC (Advance Chiropractic Clinic)
• Eastern Iowa Therapeutics PC (Athletico Physical Therapy)
• Hannah Laura Gerk
• Graceful Secrets Medspa

• Clinic/Center in Saint Ansgar, IA
• Providers in Saint Ansgar, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.