Individual provider Active NPI

Brandon Dolin, DC

  • Chiropractor
  • Winterset, IA
National Provider Identifier
1154973519
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
097274 Issued in IA
Practice address
105 E Madison St
Winterset, IA 50273-2412
Phone
(515) 462-4644
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 097274 IA Primary

Addresses

Primary practice location

105 E Madison St
Winterset, IA 50273-2412

Mailing address

105 E Madison St
Winterset, IA 50273-2412
Phone (515) 462-4644

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WINTERSET Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828001488 IA Practitioner - Chiropractic 8628306636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Rooted Family Chiropractic, LLCGroup PAC ID 7911377239, 2 clinicians

Practice addresses (Care Compare)

96 Paine Cir
Suite 3
Bondurant, IA 50035-1488
Phone (515) 664-6147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097274IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Family Chiropractic, LLC Chiropractor CurrentSince Mar 2, 2022 Accepting new patients

Locations

96 Paine Cir
Ste 3
Bondurant, IA 50035
Phone (304) 552-6064

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, 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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1154973519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E MADISON ST",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502732412",
            "telephone_number": "515-462-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MADISON ST",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502732412",
            "telephone_number": "515-462-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLIN",
        "first_name": "BRANDON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "097274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WINTERSET",
            "affiliation": "N",
            "endpointDescription": "Office Mailing Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 E Madison St",
            "city": "Winterset",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502732412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winterset, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.