Active NPI
Roy Lubkeman, D.C.
- Chiropractor
- Ankeny, IA
National Provider Identifier
1699749622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A06104
- Practice address
- 2005 S Ankeny Blvd
Suite 600
Ankeny, IA 50023-5427 - Phone
- (515) 963-9715
- Fax
- (515) 963-9716
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A06104 | IA | Primary |
Addresses
Primary practice location
2005 S Ankeny Blvd
Suite 600
Ankeny, IA 50023-5427
Mailing address
1016 NE Kamies LN
Ankeny, IA 50021-6759
Phone (515) 963-9715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2185603 | Medicaid | IA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revitalize Wellness Center | Chiropractor | Past | Accepting new patients |
| New Life Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Ankeny, IA
- NPI 1639143647
-
- Chiropractor
- Ankeny, IA
- NPI 1942220488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1699749622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 NE KAMIES LN",
"city": "ANKENY",
"state": "IA",
"postal_code": "500216759",
"telephone_number": "515-963-9715",
"fax_number": "515-963-9716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 S ANKENY BLVD",
"address_2": "SUITE 600",
"city": "ANKENY",
"state": "IA",
"postal_code": "500235427",
"telephone_number": "515-963-9715",
"fax_number": "515-963-9716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBKEMAN",
"first_name": "ROY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A06104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2185603",
"state": "IA"
}
],
"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 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.