Individual provider Active NPI

Austin David Dehoogh, D.C.

  • Chiropractor
  • Windsor Heights, IA
National Provider Identifier
1417286360
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
093290 Issued in IA
Practice address
1239 73Rd St Ste K
Windsor Heights, IA 50324-1339
Phone
(515) 274-4444
Fax
(515) 274-2473
NPI assigned
Dec 23, 2009
Last updated
May 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1738 NM
Chiropractor 111N00000X 093290 IA Primary

Addresses

Primary practice location

1239 73Rd St Ste K
Windsor Heights, IA 50324-1339

Mailing address

1239 73Rd St Ste K
Windsor Heights, IA 50324-1343
Phone (515) 274-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627002192 IA Practitioner - Chiropractic 4486812401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1239 73Rd St
Suite K
Windsor Heights, IA 50324-1339
Phone (515) 274-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1738NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dehoogh Family Chiropractic, PC Chiropractor CurrentSince Aug 16, 2018 Accepting new patients
Kasperbauer Chiropractic Chiropractor Past Accepting new patients

Locations

1239 73rd St
Ste K
Windsor Heights, IA 50324
Phone (515) 274-4444

Organizations & group practices 2

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": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1417286360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 73RD ST STE K",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241343",
            "telephone_number": "515-274-4444",
            "fax_number": "515-274-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 73RD ST STE K",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241339",
            "telephone_number": "515-274-4444",
            "fax_number": "515-274-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHOOGH",
        "first_name": "AUSTIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1738",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "093290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Heights, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.