Individual provider Active NPI

Rodney L Den Hartog, DC

  • Chiropractor
  • Sanborn, IA
National Provider Identifier
1487625018
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05652 Issued in IA
Practice address
220 Main St
Sanborn, IA 51248-0487
Phone
(712) 729-5515
Fax
(712) 729-5555
NPI assigned
Jan 31, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 A05652 IA Primary

Addresses

Primary practice location

220 Main St
Sanborn, IA 51248-0487

Mailing address

PO Box 487
Sanborn, IA 51248-0487
Phone (712) 729-5515

Other identifiers 2

IdentifierTypeStateIssuer
40709OtherIABLUE CROSS BLUE SHIELD
0159046MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000727 IA Practitioner - Chiropractic 9436196847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Main St
Sanborn, IA 51248-7728
Phone (712) 729-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05652IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sanborn Chiropractic Clinic PC Chiropractor CurrentSince Jan 18, 2010 Accepting new patients

Locations

610 N Eastern St
Sanborn, IA 51248
Phone (712) 930-3228

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, 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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487625018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "SANBORN",
            "state": "IA",
            "postal_code": "512480487",
            "telephone_number": "712-729-5515",
            "fax_number": "712-729-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "city": "SANBORN",
            "state": "IA",
            "postal_code": "512480487",
            "telephone_number": "712-729-5515",
            "fax_number": "712-729-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEN HARTOG",
        "first_name": "RODNEY",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40709",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159046",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanborn, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.