Active NPI
Joseph Douglas Vanduyne
- Chiropractor
- Le Claire, IA
National Provider Identifier
1366218612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 122745
- Practice address
- 700 Eagle Ridge Rd
Le Claire, IA 52753-9593 - Phone
- (563) 289-3241
- NPI assigned
- Nov 28, 2023
- Last updated
- Nov 28, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 122745 | IA | Primary |
Addresses
Primary practice location
700 Eagle Ridge Rd
Le Claire, IA 52753-9593
Mailing address
250 W James St
Walcott, IA 52773-8552
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, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
700 Eagle Ridge Rd
Le Claire, IA 52753-9593
Phone (563) 289-3242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kautz Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Vanduyne Chiropractic PLC | Current | Accepting new patients |
Locations
700 Eagle Ridge Rd
Le Claire, IA 52753
Phone (563) 289-3241
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Le Claire, IA
- NPI 1386182137
-
- Health Service Clinic/Center
- Le Claire, IA
- NPI 1407713639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1366218612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W JAMES ST",
"city": "WALCOTT",
"state": "IA",
"postal_code": "527738552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 EAGLE RIDGE RD",
"city": "LE CLAIRE",
"state": "IA",
"postal_code": "527539593",
"telephone_number": "563-289-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDUYNE",
"first_name": "JOSEPH",
"middle_name": "DOUGLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-28",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "122745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Le Claire, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.