Individual provider Active NPI

Robert A Coons, D.C.

  • Chiropractor
  • Urbandale, IA
National Provider Identifier
1205930880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06368 Issued in IA
Practice address
6401 Douglas Ave Ste 12
Urbandale, IA 50322-3350
Phone
(515) 278-0363
Fax
(515) 278-0445
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06368 IA Primary

Addresses

Primary practice location

6401 Douglas Ave Ste 12
Urbandale, IA 50322-3350

Mailing address

6401 Douglas Ave Ste 12
Urbandale, IA 50322-3350
Phone (515) 278-0363

Other identifiers 2

IdentifierTypeStateIssuer
22834OtherIAWELLMARK
0219717MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614001423 IA Practitioner - Chiropractic 6305880998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6401 Douglas Ave
Suite 12
Urbandale, IA 50322-3350
Phone (515) 278-0363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Chiropractic Clinic P.C. Chiropractor CurrentSince Jun 14, 2005 Accepting new patients
Sexton Chiropractic & Wellness Chiropractor PastSince Jan 1, 2008 Accepting new patients

Locations

6221 SE 14th St
Des Moines, IA 50320
Phone (515) 287-3993

6401 Douglas Ave
Ste 12
Urbandale, IA 50322
Phone (515) 278-0363

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205930880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 DOUGLAS AVE STE 12",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223350",
            "telephone_number": "515-278-0363",
            "fax_number": "515-278-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 DOUGLAS AVE STE 12",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223350",
            "telephone_number": "515-278-0363",
            "fax_number": "515-278-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONS",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "22834",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219717",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.