Individual provider Active NPI

Jay A Koenen, D.C.

  • Chiropractor
  • Newton, IA
National Provider Identifier
1699740514
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06083 Issued in IA
Practice address
200 N 2ND Ave W
Newton, IA 50208-3032
Phone
(641) 791-1264
Fax
(641) 787-1708
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A06083 IA Primary

Addresses

Primary practice location

200 N 2ND Ave W
Newton, IA 50208-3032

Mailing address

200 N 2ND Ave W
Newton, IA 50208-3032
Phone (641) 787-1710

Other identifiers 2

IdentifierTypeStateIssuer
49085OtherIAWELLMARK BC/BS OF IA
0189126MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426001320 IA Practitioner - Chiropractic 5193764488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 N 2ND Ave W
Newton, IA 50208-3032
Phone (641) 275-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Koenen Chiropractic, PC Chiropractor CurrentSince Jun 1, 1999 Accepting new patients

Locations

200 N 2nd Ave W
Newton, IA 50208
Phone (641) 275-0080

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699740514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 2ND AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083032",
            "telephone_number": "641-787-1710",
            "fax_number": "641-787-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 2ND AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083032",
            "telephone_number": "641-791-1264",
            "fax_number": "641-787-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENEN",
        "first_name": "JAY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS OF IA",
            "identifier": "49085",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189126",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.