Individual provider Active NPI

Rodney Glen Throckmorton, D.C.

  • Chiropractor
  • Oskaloosa, IA
National Provider Identifier
1366493330
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06873 Issued in IA
Practice address
301 N 1St St
Suite B
Oskaloosa, IA 52577-2268
Phone
(641) 673-8414
Fax
(641) 673-4500
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06873 IA Primary

Addresses

Primary practice location

301 N 1St St
Suite B
Oskaloosa, IA 52577-2268

Mailing address

301 N 1St St
Suite B
Oskaloosa, IA 52577-2268
Phone (641) 673-8414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060518000103 IA Practitioner - Chiropractic 8224049754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

218 N B St
Oskaloosa, IA 52577-2728
Phone (641) 673-8414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06873IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bowman Health, Inc. Chiropractor CurrentSince Sep 8, 2008 Accepting new patients
RM Health Inc Chiropractor PastSince Oct 3, 2007 Accepting new patients

Locations

301 N 1st St
Ste B
Oskaloosa, IA 52577
Phone (641) 673-8414

218 N B St
Oskaloosa, IA 52577
Phone (641) 673-8414

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1366493330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 1ST ST",
            "address_2": "SUITE B",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772268",
            "telephone_number": "641-673-8414",
            "fax_number": "641-673-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 1ST ST",
            "address_2": "SUITE B",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772268",
            "telephone_number": "641-673-8414",
            "fax_number": "641-673-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THROCKMORTON",
        "first_name": "RODNEY",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.