Active NPI
Robert A Coons, D.C.
- Chiropractor
- Urbandale, IA
National Provider Identifier
1205930880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22834 | Other | IA | WELLMARK |
| 0219717 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Chiropractic Clinic P.C. | Chiropractor | Current | Accepting new patients |
| Sexton Chiropractic & Wellness | Chiropractor | Past | 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.
-
- Chiropractor
- Urbandale, IA
- NPI 1407014822
-
- Chiropractor
- Des Moines, IA
- NPI 1366647307
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.