Individual provider Active NPI

Joel Thomas Rexroth, D.C.

  • Chiropractor
  • West Burlington, IA
National Provider Identifier
1407829807
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06469 Issued in IA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
31417OtherIABCBS ID
0432146MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000521 IA Practitioner - Chiropractic 3375621790 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
06469IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rexroth Chiropractic Center Chiropractor CurrentSince Feb 12, 2023 Accepting new patients
Rexroth Chiropractic Center Chiropractor PastSince Jan 29, 2023 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.

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.

Verify at the official NPI Registry.