Individual provider Active NPI

Robert M Clemons, D.C.

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1215430798
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
090525 Issued in IA
Practice address
1710 W 1St St
Ankeny, IA 50023-2526
Phone
(515) 964-3000
Fax
(515) 964-3014
NPI assigned
Mar 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 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 090525 IA Primary

Addresses

Primary practice location

1710 W 1St St
Ankeny, IA 50023-2526

Mailing address

1710 W 1St St
Ankeny, IA 50023-2526
Phone (515) 964-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090525IAMDChiropractor
5060NCMDOrthodontics and Dentofacial Orthopedic Dentist
4374SCMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relife Pro Corporation Chiropractor CurrentSince Mar 1, 2025 Accepting new patients
Trull Chiropractic PA Chiropractor PastSince Mar 29, 1994 Accepting new patients
Iowa Chiropractic Clinic Chiropractor PastSince May 20, 2002 Accepting new patients

Locations

9716 Redstone Dr
Indian Land, SC 29707
Phone (803) 992-9966

Organizations & group practices 3

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1215430798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W 1ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232526",
            "telephone_number": "515-964-3000",
            "fax_number": "515-964-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W 1ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232526",
            "telephone_number": "515-964-3000",
            "fax_number": "515-964-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "090525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.