Organization Active NPI

Ronald C Neuerburg DC

  • Chiropractor
  • Eldora, IA
National Provider Identifier
1346419637
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04781 Issued in IA
Legal business name
RONALD C NEUERBURG DC
Practice address
1376 Washington Street
Eldora, IA 50627-1631
Phone
(641) 939-3831
Fax
(641) 939-3922
NPI assigned
Feb 21, 2008
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Ronald C Neuerburg, DCNPI 1124043955
Title
Owner
Phone
(641) 939-3831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04781 IA Primary
Chiropractor 111N00000X 06402 IA

Addresses

Primary practice location

1376 Washington Street
Eldora, IA 50627-1631

Mailing address

1376 Washington Street
Eldora, IA 50627-1631
Phone (641) 939-3831

Other identifiers 2

IdentifierTypeStateIssuer
46880OtherIABLUE CROSS BLUE SHIELD
0267732MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1346419637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 WASHINGTON STREET",
            "city": "ELDORA",
            "state": "IA",
            "postal_code": "506271631",
            "telephone_number": "641-939-3831",
            "fax_number": "641-939-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 WASHINGTON STREET",
            "city": "ELDORA",
            "state": "IA",
            "postal_code": "506271631",
            "telephone_number": "641-939-3831",
            "fax_number": "641-939-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C NEUERBURG DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "NEUERBURG",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-939-3831",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04781",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "46880",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0267732",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldora, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.