Individual provider Active NPI

Tracy A Stromgren, DC

  • Chiropractor
  • Glenwood, IA
National Provider Identifier
1689749806
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6527 Issued in IA
Practice address
24 North Walnut
Glenwood, IA 51534
Phone
(712) 527-9880
Fax
(712) 527-3737
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6527 IA Primary

Addresses

Primary practice location

24 North Walnut
Glenwood, IA 51534

Mailing address

24 North Walnut
Glenwood, IA 51534
Phone (712) 527-9880

Other identifiers 2

IdentifierTypeStateIssuer
30341OtherIAWELLMARK
0270983MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000340 IA Practitioner - Chiropractic 7012900111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 N Walnut St
Glenwood, IA 51534-1739
Phone (712) 527-9880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6527IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stromgren Chiropractic PA Chiropractor CurrentSince Sep 16, 2002 Accepting new patients

Locations

24 N Walnut St
Glenwood, IA 51534
Phone (712) 527-9880

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1689749806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NORTH WALNUT",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "51534",
            "telephone_number": "712-527-9880",
            "fax_number": "712-527-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORTH WALNUT",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "51534",
            "telephone_number": "712-527-9880",
            "fax_number": "712-527-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMGREN",
        "first_name": "TRACY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "6527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "30341",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270983",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.