Active NPI
Katelyn Koppes
- Chiropractor
- Ankeny, IA
National Provider Identifier
1306452602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5563-12
- Practice address
- 1310 SW State St Ste B1310Sw
Ankeny, IA 50023-2695 - Phone
- (515) 965-8280
- NPI assigned
- Sep 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5563-12 | WI | Primary |
Addresses
Primary practice location
1310 SW State St Ste B1310Sw
Ankeny, IA 50023-2695
Mailing address
106 National Drive Apt 210
Huxley, IA 50124-7176
Phone (262) 408-9967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1310 SW State St
Suite B
Ankeny, IA 50023-2695
Phone (515) 965-8280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5563-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Labounty Family Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
Locations
1310 SW State St
Ste B
Ankeny, IA 50023
Phone (515) 965-8280
Organizations & group practices 1
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.
-
- Chiropractor
- Ankeny, IA
- NPI 1457466328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1306452602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 NATIONAL DRIVE APT 210",
"city": "HUXLEY",
"state": "IA",
"postal_code": "501247176",
"telephone_number": "262-408-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 SW STATE ST STE B1310SW",
"city": "ANKENY",
"state": "IA",
"postal_code": "500232695",
"telephone_number": "515-965-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPPES",
"first_name": "KATELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-22",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5563-12",
"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 Oct 10, 2023; 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.