Mitchell Lonnie Boerm, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

105637 Issued in IA

Practice address

412 G Ave
Grundy Center, IA 50638-1747

Phone

(319) 824-3650

NPI assigned

Nov 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boerm Family Chiropractic PLLCGroup PAC ID 2567808827, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boerm Family Chiropractic PLLC

  • Chiropractor
  • Grundy Center, IA
  • NPI 1760262158
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1164023735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 G AVE",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506381747",
            "telephone_number": "319-824-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 G AVE",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506381747",
            "telephone_number": "319-824-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERM",
        "first_name": "MITCHELL",
        "middle_name": "LONNIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "105637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlington Place of Grundy Center
• Arlington Place of Grundy Center II, Inc.
• Lisa Bienfang
• Samantha Marie Banser Bissen, DO
• Boerm Family Chiropractic PLLC
• Trisha Ann Boos, PTA
• Wendy Brewer
• Lora Brunkhorst, COTA
• Calton V and S Pharmacy
• Cedar Valley Medical Specialists, PC

• Chiropractor in Grundy Center, IA
• Providers in Grundy Center, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.