Individual provider Active NPI

Jennifer Rebecca Klein, DC

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1124054283
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06098 Issued in IA
Practice address
2254 Flint Hill Drive
#1
Dubuque, IA 52003
Phone
(563) 588-9776
Fax
(563) 588-8972
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A06098 IA Primary

Addresses

Primary practice location

2254 Flint Hill Drive
#1
Dubuque, IA 52003

Mailing address

2254 Flint Hill Drive
#1
Dubuque, IA 52003
Phone (563) 588-9776

Other identifiers 1

IdentifierTypeStateIssuer
0197020MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090102000139 IA Practitioner - Chiropractic 7719087931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2254 Flint Hill Dr
Suite 1
Dubuque, IA 52003-8097
Phone (563) 588-9776

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Key West Chiropractic Health Center, Inc. Chiropractor CurrentSince Apr 26, 1987 Accepting new patients

Locations

2254 Flint Hill Dr
Ste 1
Dubuque, IA 52003
Phone (319) 588-9776

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1124054283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 FLINT HILL DRIVE",
            "address_2": "#1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52003",
            "telephone_number": "563-588-9776",
            "fax_number": "563-588-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 FLINT HILL DRIVE",
            "address_2": "#1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52003",
            "telephone_number": "563-588-9776",
            "fax_number": "563-588-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197020",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.