Micaela Sue Dolezal, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06658 Issued in IA

Practice address

3100 Cedar Crest RDG
Suite 4
Dubuque, IA 52003-6700

Phone

(563) 557-3040

Fax

(563) 557-3048

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1225058704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CEDAR CREST RDG",
            "address_2": "SUITE 4",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520036700",
            "telephone_number": "563-557-3040",
            "fax_number": "563-557-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CEDAR CREST RDG",
            "address_2": "SUITE 4",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520036700",
            "telephone_number": "563-557-3040",
            "fax_number": "563-557-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLEZAL",
        "first_name": "MICAELA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06658",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468967",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Dodds, MD
• Richard Mark Dodds, D.C.
• Dodge Street Anesthesiologists PC
• Kaitlin R Doerges, DPT
• John Thomas Dolehide, D.O.
• Jennifer Dolson, M.A., LMHC
• Larry J Donahue, DDS
• Erin Donovan, LMT
• George Gregory Doolin, D.C.
• Alan Dostal, P.T.

• Chiropractor in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.