Active NPI
Gabrielle Marie Sandberg, D.C.
- Chiropractor
- Johnston, IA
National Provider Identifier
1558457291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- AO5988
- Practice address
- 5800 Merle Hay Rd Ste 10
Johnston, IA 50131-1217 - Phone
- (515) 276-5135
- Fax
- (515) 276-5167
- NPI assigned
- Oct 4, 2006
- Last updated
- May 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | AO5988 | IA | Primary |
| Chiropractor | 111N00000X | A05988 | IA |
Addresses
Primary practice location
5800 Merle Hay Rd Ste 10
Johnston, IA 50131-1217
Mailing address
PO Box 379
Johnston, IA 50131-0379
Phone (515) 276-5135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050609000365 | IA | Practitioner - Chiropractic | 7315980497 | Practice locations: Johnston, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5460 Merle Hay Rd
G1
Johnston, IA 50131-1029
5800 Merle Hay Rd
Suite 10
Johnston, IA 50131-1217
Phone (515) 276-5135
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A05988 | IA | MD | Chiropractor |
| AO5988 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovell Chiropractic | Current | Accepting new patients |
Locations
5800 Merle Hay Rd
Ste 10
Johnston, IA 50131
Phone (515) 276-5135
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.
-
- Health Service Clinic/Center
- Johnston, IA
- NPI 1487525895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1558457291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 379",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501310379",
"telephone_number": "515-276-5135",
"fax_number": "515-276-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 MERLE HAY RD STE 10",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311217",
"telephone_number": "515-276-5135",
"fax_number": "515-276-5167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDBERG",
"first_name": "GABRIELLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "AO5988",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A05988",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.