Joel David Packebush, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06935 Issued in IA

Practice address

1799 Highway 71 North
Okoboji, IA 51355

Phone

(712) 332-7775

NPI assigned

Feb 3, 2009

Last updated

Feb 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chiropractic Advantage, PC

  • Chiropractor
  • Okoboji, IA
  • NPI 1386882132
  Medicare reassignment NPD Authorized official
• Lammers Family Chiropractic, PC

  • Chiropractor
  • Okoboji, IA
  • NPI 1972788362
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1568600237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "OKOBOJI",
            "state": "IA",
            "postal_code": "51355",
            "telephone_number": "712-330-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 HIGHWAY 71 NORTH",
            "city": "OKOBOJI",
            "state": "IA",
            "postal_code": "51355",
            "telephone_number": "712-332-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKEBUSH",
        "first_name": "JOEL",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Paul Lammers, D.C.
• Brooke Lorenzen
• Northwest Iowa Mental Health Center (Oak Haven)
• Northwest Iowa Mental Health Center (Oak Haven)
• Northwest Iowa Mental Health Center (Oak Haven)
• Christine Michelle Soole, D.C.
• Synergy Chiropractic PLLC

• Chiropractor in Okoboji, IA
• Providers in Okoboji, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.