Individual provider Active NPI

John Lindstrom, DC

  • Chiropractor
  • Waukee, IA
National Provider Identifier
1174048417
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
088407 Issued in IA
Practice address
1360 E Hickman Rd
Waukee, IA 50263-8137
Phone
(515) 518-0924
Fax
(563) 676-5420
NPI assigned
Aug 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 088407 IA Primary

Addresses

Primary practice location

1360 E Hickman Rd
Waukee, IA 50263-8137

Mailing address

1801 Roebling Rd
Adel, IA 50003-2520
Phone (563) 676-5420

Other practice location 1

1358 E Hickman Rd
Waukee, IA 50263-8137
Phone (563) 676-5420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724002750 IA Practitioner - Chiropractic 8426305343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1360 E Hickman Rd
Core Chiropractic
Waukee, IA 50263-8137
Phone (563) 676-5420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Chiropractic Des Moines Chiropractor CurrentSince Jun 11, 2018 Accepting new patients
Lindstrom Chiropractic Chiropractor CurrentSince Jun 11, 2018 Accepting new patients

Locations

1360 E Hickman Rd
Waukee, IA 50263
Phone (515) 518-0924

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1174048417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ROEBLING RD",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500032520",
            "telephone_number": "563-676-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638137",
            "telephone_number": "515-518-0924",
            "fax_number": "563-676-5420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1358 E Hickman Rd",
            "address_purpose": "LOCATION",
            "city": "Waukee",
            "state": "IA",
            "postal_code": "502638137",
            "country_code": "US",
            "telephone_number": "563-676-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "088407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.