Individual provider Active NPI

Rodney R Rebarcak, DC

  • Chiropractor
  • Ames, IA
National Provider Identifier
1598740771
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04633 Issued in IA
Practice address
205 Clark Ave
Ames, IA 50010-3311
Phone
(515) 233-2263
Fax
(515) 233-5836
NPI assigned
Dec 12, 2005
Last updated
Jan 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04633 IA Primary

Addresses

Primary practice location

205 Clark Ave
Ames, IA 50010-3311

Mailing address

205 Clark Ave Ste 4
Ames, IA 50010-3311
Phone (515) 233-2263

Other identifiers 1

IdentifierTypeStateIssuer
0160127MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100129000354 IA Practitioner - Chiropractic 6507909504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebarcak Chiropractic PLCGroup PAC ID 2961762653, 6 clinicians

Practice addresses (Care Compare)

205 Clark Ave
Suite 4
Ames, IA 50010-3311
Phone (515) 233-2263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebarcak Chiropractic PLC Chiropractor CurrentSince Dec 20, 2017 Accepting new patients

Locations

205 Clark Ave
Ames, IA 50010
Phone (515) 233-2263

205 Clark Ave
Ste 4
Ames, IA 50010
Phone (515) 233-2263

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": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1598740771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CLARK AVE STE 4",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103311",
            "telephone_number": "515-233-2263",
            "fax_number": "515-233-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CLARK AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103311",
            "telephone_number": "515-233-2263",
            "fax_number": "515-233-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBARCAK",
        "first_name": "RODNEY",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160127",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.