Individual provider Active NPI

Robert Timothy Steenbergen Jr., D.C

  • Chiropractor
  • Coeur D Alene, ID
National Provider Identifier
1285035667
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1606 Issued in ID
Practice address
1705 N Government Way
Coeur D Alene, ID 83814-3444
Phone
(503) 475-1243
NPI assigned
Sep 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1606 ID Primary

Addresses

Primary practice location

1705 N Government Way
Coeur D Alene, ID 83814-3444

Mailing address

1705 N Government Way
Coeur D Alene, ID 83814-3444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150928002949 ID Practitioner - Chiropractic 5496060329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 W Neider Ave
Coeur D Alene, ID 83815-9300
Phone (208) 664-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Chiropractic and Wellness Center CurrentSince Aug 15, 2014 Accepting new patients
Core Chiropractic, PLLC Chiropractor PastSince Nov 20, 2011 Accepting new patients

Locations

116 W Neider Ave
Ste 116
Coeur D Alene, ID 83815

1705 N Government Way
Coeur D Alene, ID 83814
Phone (208) 765-8585

116 W Neider Ave
Coeur D Alene, ID 83815
Phone (208) 664-0444

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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1285035667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 N GOVERNMENT WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N GOVERNMENT WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143444",
            "telephone_number": "503-475-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEENBERGEN",
        "first_name": "ROBERT",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.