Individual provider Active NPI

Kathleen Ramona Doohen, D.C.

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1639245160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A5726 Issued in IA
Practice address
2202 W 1St St
Ankeny, IA 50023-2469
Phone
(515) 965-3939
Fax
(515) 965-3939
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A5726 IA Primary

Addresses

Primary practice location

2202 W 1St St
Ankeny, IA 50023-2469

Mailing address

2202 W 1St St
Ankeny, IA 50023-2469
Phone (515) 965-3939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000460 IA Practitioner - Chiropractic 4284699885 Practice locations: Ankeny, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2202 W 1St St
Suite D
Ankeny, IA 50023-2469

2202 W 1St St D
Ankeny, IA 50021-2469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A5726IAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639245160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 W 1ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232469",
            "telephone_number": "515-965-3939",
            "fax_number": "515-965-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 W 1ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232469",
            "telephone_number": "515-965-3939",
            "fax_number": "515-965-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOHEN",
        "first_name": "KATHLEEN",
        "middle_name": "RAMONA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A5726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.