Individual provider Active NPI

Mandy Janel Halling Roush, DC

  • Chiropractor
  • Urbandale, IA
National Provider Identifier
1487726618
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06840 Issued in IA
Practice address
2535 106TH St
Urbandale, IA 50322-3766
Phone
(515) 334-0505
Fax
(515) 334-0510
NPI assigned
Nov 14, 2006
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06840 IA Primary

Addresses

Primary practice location

2535 106TH St
Urbandale, IA 50322-3766

Mailing address

2535 106TH St
Urbandale, IA 50322-3766
Phone (515) 334-0505

Other identifiers 1

IdentifierTypeStateIssuer
0489963MedicaidIA

Other names 1

  • Dr. Mandy Janel Halling Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000249 IA Practitioner - Chiropractic 5496778649 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

2535 106TH St
Urbandale, IA 50322-3766
Phone (515) 334-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Halling Wellness Center, Inc Chiropractor CurrentSince Feb 8, 2017 Accepting new patients
Fisher Chiropractic Care, LLC Chiropractor Past Accepting new patients

Locations

2535 106th St
Urbandale, IA 50322
Phone (515) 278-0456

2781 100th St
Urbandale, IA 50322
Phone (515) 334-0505

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1487726618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 106TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223766",
            "telephone_number": "515-334-0505",
            "fax_number": "515-334-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 106TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223766",
            "telephone_number": "515-334-0505",
            "fax_number": "515-334-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLING ROUSH",
        "first_name": "MANDY",
        "middle_name": "JANEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0489963",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "HALLING",
            "middle_name": "JANEL",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.