Individual provider Active NPI

Colleen Cathryn Reed-Dittmar, DC

  • Chiropractor
  • Buffalo, IA
National Provider Identifier
1255562773
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007234 Issued in IA
Practice address
1134 Front St
Suite 200
Buffalo, IA 52728
Phone
(563) 823-8608
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007234 IA Primary

Addresses

Primary practice location

1134 Front St
Suite 200
Buffalo, IA 52728

Mailing address

1134 Front St
Suite 200, PO Box 327
Buffalo, IA 52728
Phone (563) 823-8608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100108000074 IA Practitioner - Chiropractic 6103967443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1134 Front St
Suite 200
Buffalo, IA 52728-7763
Phone (563) 823-8836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverwalk Health Services Inc. CurrentSince Aug 1, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: direct@docsidechiropracticbuffaloia.compulinkdirect.com

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1255562773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 FRONT ST",
            "address_2": "SUITE 200, PO BOX 327",
            "city": "BUFFALO",
            "state": "IA",
            "postal_code": "52728",
            "telephone_number": "563-823-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 FRONT ST",
            "address_2": "SUITE 200",
            "city": "BUFFALO",
            "state": "IA",
            "postal_code": "52728",
            "telephone_number": "563-823-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED-DITTMAR",
        "first_name": "COLLEEN",
        "middle_name": "CATHRYN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.