Individual provider Active NPI

Calla Jayne Henning Kleene, D.C.

  • Chiropractor
  • Hiawatha, IA
National Provider Identifier
1629208467
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007222 Issued in IA
Practice address
1212 Dina CT
Hiawatha, IA 52233-4706
Phone
(319) 892-3363
Fax
(319) 892-3034
NPI assigned
Jul 14, 2009
Last updated
May 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 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 007222 IA Primary

Addresses

Primary practice location

1212 Dina CT
Hiawatha, IA 52233-4706

Mailing address

99 North Center Point Road
Hiawatha, IA 52233-1401
Phone (319) 892-3363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000697 IA Practitioner - Chiropractic 9032263900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1212 Dina CT
Hiawatha, IA 52233-4706
Phone (319) 892-3363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007222IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Line Family Chiropractic and Wellness, P.C. Chiropractor CurrentSince Aug 12, 2009 Accepting new patients
Back in Line Family Chiropractic and Wellness, P.C. Current Accepting new patients

Locations

1212 Dina Ct
Hiawatha, IA 52233
Phone (319) 560-3316

99 N Center Point Rd
Hiawatha, IA 52233
Phone (319) 892-3363

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1629208467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NORTH CENTER POINT ROAD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331401",
            "telephone_number": "319-892-3363",
            "fax_number": "319-892-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 DINA CT",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522334706",
            "telephone_number": "319-892-3363",
            "fax_number": "319-892-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEENE",
        "first_name": "CALLA JAYNE",
        "middle_name": "HENNING",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.