Miranda Leann Overbergen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

081542 Issued in IA

Practice address

1906 Ingersoll Ave
Des Moines, IA 50309-3321

Phone

(515) 225-2237

NPI assigned

Feb 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miranda Leann De Kruyff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1134589898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093321",
            "telephone_number": "515-225-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBERGEN",
        "first_name": "MIRANDA",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "081542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "DE KRUYFF",
            "middle_name": "LEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew M Oswald, PA-C
• Heather L Ourth, RPH
• Sarah Joy Outlaw, CN
• Outline Therapeutic Resources
• Shelly Renee Ouverson, ARNP
• Cameron William Overcash, MD
• Lauren Overland, LMSW
• Megan L Overton, NNP
• Julia A. Owen, RPH
• Kimberly Owen, PHARMD

• Chiropractor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.