Active NPI
Lynn M Randall, DC
- Chiropractor
- Dubuque, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A06225
- Practice address
- 3375 Lake Ridge Dr
Dubuque, IA 52003-7864 - Phone
- (563) 207-8932
- Fax
- (563) 207-8935
- NPI assigned
- Aug 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3764012 | WI | |
| Chiropractor | 111N00000X | A06225 | IA | Primary |
Addresses
Primary practice location
3375 Lake Ridge Dr
Dubuque, IA 52003-7864
Mailing address
3375 Lake Ridge Dr
Dubuque, IA 52003-7864
Phone (563) 207-8932
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12828 | Other | WI | DEAN HEALTH PLAN |
| 38932000 | Medicaid | WI |
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3430 Dodge St
Unit 25
Dubuque, IA 52003-5218
Phone (563) 581-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A06225 | IA | MD | Chiropractor |
| 3764012 | WI | MD | Chiropractor |
| 3764 | WI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randall Chiropractic and Wellness, LLC | Chiropractor | Current | Accepting new patients |
| Statera LLC | Current | Accepting new patients | |
| Lettman Chiropractic Rehab Care | Chiropractor | Past | Accepting new patients |
| Chiropractic Rehab Center, PC | Chiropractor | Past | Accepting new patients |
Locations
3375 Lake Ridge Dr
Dubuque, IA 52003
Phone (563) 207-8932
3375 Lake Ridge Dr
#H
Dubuque, IA 52003
Phone (563) 207-8932
3430 Dodge St
Unit 25
Dubuque, IA 52003
Phone (563) 581-1503
1082 Cedar Cross Rd
Ste 1002
Dubuque, IA 52003
Phone (563) 581-1503
Organizations & group practices 4
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
- Dubuque, IA
- NPI 1164318093
-
- Primary Care Clinic/Center
- Dubuque, IA
- NPI 1689172751
-
- Chiropractor
- Dubuque, IA
- NPI 1912041609
-
- Chiropractor
- Dubuque, IA
- NPI 1811000870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1316058506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 LAKE RIDGE DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520037864",
"telephone_number": "563-207-8932",
"fax_number": "563-207-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 LAKE RIDGE DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520037864",
"telephone_number": "563-207-8932",
"fax_number": "563-207-8935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "LYNN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3764012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A06225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH PLAN",
"identifier": "12828",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38932000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.