Active NPI
Matthew Gronewold, D.C.
- Chiropractor
- Pella, IA
National Provider Identifier
1366836389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 077153
- Practice address
- 110 E 10TH St
Pella, IA 50219-2002 - Phone
- (641) 780-4192
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 077153 | IA | Primary |
Addresses
Primary practice location
110 E 10TH St
Pella, IA 50219-2002
Mailing address
110 E 10TH St
Pella, IA 50219-2002
Phone (641) 780-4192
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3640 Canterbury CT
Waterloo, IA 50702-5705
Phone (319) 486-1169
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077153 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterloo Chiropractic Center PLLC | Chiropractor | Current | Accepting new patients |
| Intentional Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Browne Family Chiropractic PC | Chiropractor | Past | Accepting new patients |
Locations
3731 Kimball Ave
Waterloo, IA 50702
Phone (319) 231-4779
Organizations & group practices 3
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.
-
- Chiropractor
- Waterloo, IA
- NPI 1760337331
-
- Chiropractor
- Waterloo, IA
- NPI 1225669302
-
- Chiropractor
- Pella, IA
- NPI 1962721639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1366836389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 10TH ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502192002",
"telephone_number": "641-780-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 10TH ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502192002",
"telephone_number": "641-780-4192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRONEWOLD",
"first_name": "MATTHEW",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "077153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.