Active NPI
Koenen & Collins Chiropractic Clinic
- Chiropractor
- Hampton, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05494
- Legal business name
- KOENEN & COLLINS CHIROPRACTIC CLINIC
- Practice address
- 303 Central Ave E
Hampton, IA 50441-2025 - Phone
- (641) 456-4142
- Fax
- (641) 456-2777
- NPI assigned
- Jan 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Richard Koenen, DC
- Title
- Doctor/Partner
- Phone
- (641) 456-4142
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A05485 | IA | |
| Chiropractor | 111N00000X | A05494 | IA | Primary |
Addresses
Primary practice location
303 Central Ave E
Hampton, IA 50441-2025
Mailing address
303 Central Ave E
Hampton, IA 50441-2025
Phone (641) 456-4142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002444 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040305001019 | IA | Part B Supplier - Clinic/Group Practice | 3375431901 |
Receives reassigned benefits from 2 practitioners Practice locations: Hampton, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2331703 | Koenen and Collins Chiropractic Clinic | Certificate of waiver | Oct 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
303 Central Ave E
Hampton, IA 50441
Phone (515) 456-4142
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Hampton, IA
- NPI 1972583557
-
- Chiropractor
- Hampton, IA
- NPI 1053391631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192579200000",
"number": "1366413676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 CENTRAL AVE E",
"city": "HAMPTON",
"state": "IA",
"postal_code": "504412025",
"telephone_number": "641-456-4142",
"fax_number": "641-456-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 CENTRAL AVE E",
"city": "HAMPTON",
"state": "IA",
"postal_code": "504412025",
"telephone_number": "641-456-4142",
"fax_number": "641-456-2777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOENEN & COLLINS CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-27",
"last_updated": "2007-10-17",
"status": "A",
"authorized_official_last_name": "KOENEN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "DOCTOR/PARTNER",
"authorized_official_telephone_number": "641-456-4142",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "A05485",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "A05494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0002444",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.