Koenen Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A06083 Issued in IA

Legal business name

KOENEN CHIROPRACTIC, PC

Practice address

200 N 2ND Ave W
Newton, IA 50208-3032

Phone

(641) 787-1710

Fax

(641) 787-1708

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jay A Koenen, DCNPI 1699740514

Title

Owner/Chiropractor

Phone

(641) 787-1710

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay A Koenen, D.C.

  • Chiropractor
  • Newton, IA
  • NPI 1699740514
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386728335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E 17TH ST N",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502082432",
            "telephone_number": "641-787-1710",
            "fax_number": "641-787-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 2ND AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083032",
            "telephone_number": "641-787-1710",
            "fax_number": "641-787-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOENEN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOENEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "641-787-1710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189126",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS OF IA",
            "identifier": "49085",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa L Kirke
• Chad Eric Klein, OD
• Kristin Laura Klemesrud
• Kirsten Klepfer, MSW
• Kamela Kleppe Yeager, SLP
• Jay A Koenen, D.C.
• Allison Kramer, PT, DPT
• Jennifer L Kramer, LISW
• Desiree Denise Kray, DPT
• Michelle Kron

• Chiropractor in Newton, IA
• Providers in Newton, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.