Individual provider Active NPI

Chad James Rohlfsen, D.C.

  • Chiropractor
  • Johnston, IA
National Provider Identifier
1689766263
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06135 Issued in IA
Practice address
8460 Birchwood CT
Ste 600
Johnston, IA 50131-2877
Phone
(515) 727-4000
Fax
(515) 727-4027
NPI assigned
Sep 29, 2006
Sex
Male
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 A06135 IA Primary

Addresses

Primary practice location

8460 Birchwood CT
Ste 600
Johnston, IA 50131-2877

Mailing address

8460 Birchwood CT
Ste 600
Johnston, IA 50131-2877
Phone (515) 727-4000

Other identifiers 1

IdentifierTypeStateIssuer
47496OtherIAWELLMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A06135IAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689766263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 BIRCHWOOD CT",
            "address_2": "STE 600",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312877",
            "telephone_number": "515-727-4000",
            "fax_number": "515-727-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 BIRCHWOOD CT",
            "address_2": "STE 600",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312877",
            "telephone_number": "515-727-4000",
            "fax_number": "515-727-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHLFSEN",
        "first_name": "CHAD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "47496",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.