Dubuque Family Chiropractic P.L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007270 Issued in IA

Legal business name

DUBUQUE FAMILY CHIROPRACTIC P.L.L.C.

Practice address

2055 Holliday Dr
Suite 420
Dubuque, IA 52002-0415

Phone

(563) 590-6620

Fax

(563) 875-8890

NPI assigned

Dec 8, 2010

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy John Kronlage, D.C.NPI 1740435692

Title

President

Phone

(563) 590-6620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy John Kronlage, D. C.

  • Chiropractor
  • Dubuque, IA
  • NPI 1740435692
  Medicare reassignment NPD Authorized official
• Shelby Kronlage, ARNP

  • Family Nurse Practitioner
  • Dubuque, IA
  • NPI 1942609482
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1659674976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 11TH AVE SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401946",
            "telephone_number": "563-590-6620",
            "fax_number": "563-875-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 HOLLIDAY DR",
            "address_2": "SUITE 420",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520020415",
            "telephone_number": "563-590-6620",
            "fax_number": "563-875-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE FAMILY CHIROPRACTIC P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "KRONLAGE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-590-6620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.