Individual provider Active NPI

Adam Lee Hoogestraat, DC

  • Chiropractor
  • Waterloo, IA
National Provider Identifier
1326094368
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06390 Issued in IA
Practice address
2807 University Ave
Waterloo, IA 50701-3335
Phone
(319) 233-6363
Fax
(319) 233-6262
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06390 IA Primary

Addresses

Primary practice location

2807 University Ave
Waterloo, IA 50701-3335

Mailing address

2807 University Ave
Waterloo, IA 50701-3335
Phone (319) 233-6363

Other identifiers 1

IdentifierTypeStateIssuer
1230367MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526001600 IA Practitioner - Chiropractic 1951382886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

238 3Rd St
Parkersburg, IA 50665-0237

238 3Rd St
Parkersburg, IA 50665-7730
Phone (319) 346-2812

238 3Rd St PO Box
Suite 237
Parkersburg, IA 50665-0237

2807 University Ave
Waterloo, IA 50701-3335
Phone (319) 233-6363

PO Box
Suite 237
Parkersburg, IA 50665-0237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parkersburg Chiropractic, P.C. Chiropractor CurrentSince Aug 1, 2008 Accepting new patients
University Chiropractic, P.C. Chiropractor CurrentSince Apr 1, 2004 Accepting new patients

Locations

2807 University Ave
Waterloo, IA 50701
Phone (319) 233-6363

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1326094368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 UNIVERSITY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013335",
            "telephone_number": "319-233-6363",
            "fax_number": "319-233-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 UNIVERSITY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013335",
            "telephone_number": "319-233-6363",
            "fax_number": "319-233-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOGESTRAAT",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1230367",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.