Active NPI
Joel Thomas Rexroth, D.C.
- Chiropractor
- West Burlington, IA
National Provider Identifier
1407829807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06469
- Practice address
- 2411 W Mount Pleasant St
West Burlington, IA 52655-9614 - Phone
- (319) 752-4544
- Fax
- (319) 753-5879
- NPI assigned
- Feb 8, 2006
- Last updated
- Jan 25, 2023
- 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 | 06469 | IA | Primary |
Addresses
Primary practice location
2411 W Mount Pleasant St
West Burlington, IA 52655-9614
Mailing address
2411 W Mount Pleasant St
W Burlington, IA 52655-9614
Phone (319) 752-4544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31417 | Other | IA | BCBS ID |
| 0432146 | Medicaid | IA |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2411 W Mount Pleasant St
West Burlington, IA 52655-9614
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06469 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rexroth Chiropractic Center | Chiropractor | Current | Accepting new patients |
| Rexroth Chiropractic Center | Chiropractor | Past | Accepting new patients |
Locations
2411 W Mount Pleasant St
West Burlington, IA 52655
Phone (319) 752-4544
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- W Burlington, IA
- NPI 1174220313
-
- Chiropractor
- West Burlington, IA
- NPI 1396717369
-
- Chiropractor
- West Burlington, IA
- NPI 1174853915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1407829807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 W MOUNT PLEASANT ST",
"city": "W BURLINGTON",
"state": "IA",
"postal_code": "526559614",
"telephone_number": "319-752-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 W MOUNT PLEASANT ST",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526559614",
"telephone_number": "319-752-4544",
"fax_number": "319-753-5879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REXROTH",
"first_name": "JOEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2023-01-25",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "31417",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0432146",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.