Individual provider Active NPI

Gwen Anne Lovell Kollath, DC

  • Chiropractor
  • Johnston, IA
National Provider Identifier
1386780732
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06787 Issued in IA
Practice address
5800 Merle Hay Rd Ste 10
Johnston, IA 50131-1217
Phone
(515) 276-5135
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06787 IA Primary

Addresses

Primary practice location

5800 Merle Hay Rd Ste 10
Johnston, IA 50131-1217

Mailing address

PO Box 379
Johnston, IA 50131-0379
Phone (515) 557-0315

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051004000365 IA Practitioner - Chiropractic 1052346541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5800 Merle Hay Rd
Johnston, IA 50131-1217
Phone (515) 276-5135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06787IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lovell Chiropractic CurrentSince Aug 23, 2025 Accepting new patients

Locations

5800 Merle Hay Rd
Ste 10
Johnston, IA 50131
Phone (515) 276-5135

5800 Merle Hay Rd
Johnston, IA 50131
Phone (515) 276-5135

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1386780732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501310379",
            "telephone_number": "515-557-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MERLE HAY RD STE 10",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311217",
            "telephone_number": "515-276-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL KOLLATH",
        "first_name": "GWEN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.