Sarah Greene Van Brocklin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007435 Issued in IA

Practice address

10 Circle Dr Ste 1
North Liberty, IA 52317-8818

Phone

(319) 665-2323

Fax

(319) 665-2327

NPI assigned

Jul 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Optimize Performance and Health

  • Chiropractor
  • North Liberty, IA
  • NPI 1801664628
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1316234545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CIRCLE DR",
            "address_2": "# 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178818",
            "telephone_number": "641-224-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CIRCLE DR STE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178818",
            "telephone_number": "319-665-2323",
            "fax_number": "319-665-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BROCKLIN",
        "first_name": "SARAH",
        "middle_name": "GREENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "I19566001",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shin-Ing Jeremy Tu, D.D.S., M.S.
• Ui Healthworks, LLC
• Unique Creative Abilities
• University of Iowa Community Medical Services, L.L.C.
• Vamc
• Tanya Van Voorst, AU.D.
• Kaaren Giselle Vargas, DDS PHD
• Ryan Veatch, D.O.
• Todd Michael Verhoef, M.D,
• Alexis Vincent, PA-C

• Chiropractor in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.