Individual provider Active NPI

Gabrielle Marie Sandberg, D.C.

  • Chiropractor
  • Johnston, IA
National Provider Identifier
1558457291
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AO5988 Issued in IA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
A05988IAMDChiropractor
AO5988IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lovell Chiropractic CurrentSince Sep 21, 2025 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.

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.

Verify at the official NPI Registry.