Individual provider Active NPI

Jaren Richard Tubaugh, D.C.

  • Chiropractor
  • Centerville, IA
National Provider Identifier
1215980990
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05148 Issued in IA
Practice address
1114 N Haynes Ave
Centerville, IA 52544-1134
Phone
(641) 437-4433
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05148 IA Primary

Addresses

Primary practice location

1114 N Haynes Ave
Centerville, IA 52544-1134

Mailing address

1114 N Haynes Ave
Centerville, IA 52544-1134
Phone (641) 437-4433

Other identifiers 1

IdentifierTypeStateIssuer
0232264MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000579 IA Practitioner - Chiropractic 3577521681 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Centerville, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tubaugh Family Chiropractic Clinic IncGroup PAC ID 6901276179, 2 clinicians

Practice addresses (Care Compare)

1114 N Haynes Ave
Tubaugh Family Chiropractic Clinic
Centerville, IA 52544-1134
Phone (641) 437-4433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05148IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tubaugh Family Chiropractic Clinic Inc Chiropractor CurrentSince Jan 8, 2023 Accepting new patients
Tubaugh Family Chiropractic Clinic Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Locations

1114 N Haynes Ave
Centerville, IA 52544
Phone (641) 437-4433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1215980990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 N HAYNES AVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441134",
            "telephone_number": "641-437-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N HAYNES AVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441134",
            "telephone_number": "641-437-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBAUGH",
        "first_name": "JAREN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232264",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.