Individual provider Active NPI

Neal A Rolwes, D.C.

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1376953638
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007719 Issued in IA
Practice address
150 JFK Rd Ste 10
Dubuque, IA 52002-5306
Phone
(563) 583-2095
Fax
(563) 552-7146
NPI assigned
May 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007719 IA Primary

Addresses

Primary practice location

150 JFK Rd Ste 10
Dubuque, IA 52002-5306

Mailing address

150 JFK Rd Ste 10
Dubuque, IA 52002-5306
Phone (563) 583-2095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140711000209 IA Practitioner - Chiropractic 5496970253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 John F Kennedy Rd
Dubuque, IA 52002-5306
Phone (563) 583-2095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007719IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fullness of Life Chiropractic, PLC Chiropractor CurrentSince Jun 1, 2014 Accepting new patients

Locations

150 John F Kennedy Rd
Ste 10
Dubuque, IA 52002
Phone (563) 583-2095

Organizations & group practices 1

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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1376953638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 JFK RD STE 10",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025306",
            "telephone_number": "563-583-2095",
            "fax_number": "563-552-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JFK RD STE 10",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025306",
            "telephone_number": "563-583-2095",
            "fax_number": "563-552-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLWES",
        "first_name": "NEAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.