Individual provider Active NPI

Roxanne Beth Hubler, D.C.

  • Chiropractor
  • Tipton, IA
National Provider Identifier
1154477669
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06950 Issued in IA
Practice address
707 E. 7TH Street
Tipton, IA 52772
Phone
(563) 370-5528
Fax
(563) 886-3555
NPI assigned
Jan 26, 2007
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06950 IA Primary

Addresses

Primary practice location

707 E. 7TH Street
Tipton, IA 52772

Mailing address

P.O. Box 15
Tipton, IA 52772
Phone (563) 370-5528

Other identifiers 1

IdentifierTypeStateIssuer
0747881MedicaidIA

Other names 1

  • Roxanne Beth Van Den Berghe Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070501000058 IA Practitioner - Chiropractic 0648203968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

707 E 7TH St
Tipton, IA 52772-1923
Phone (563) 370-5528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06950IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond the Barrier Chiropractic PLC Chiropractor CurrentSince Mar 13, 2024 Accepting new patients
Progressive Rehab Chiropractic,LLC Chiropractor Past Accepting new patients

Locations

513 Cedar St
Ste 3
Tipton, IA 52772

707 E 7th St
Tipton, IA 52772
Phone (563) 370-5528

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1154477669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 15",
            "city": "TIPTON",
            "state": "IA",
            "postal_code": "52772",
            "telephone_number": "563-370-5528",
            "fax_number": "563-886-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E. 7TH STREET",
            "city": "TIPTON",
            "state": "IA",
            "postal_code": "52772",
            "telephone_number": "563-370-5528",
            "fax_number": "563-886-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBLER",
        "first_name": "ROXANNE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0747881",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "VAN DEN BERGHE",
            "middle_name": "BETH",
            "credential": "D.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tipton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.