Individual provider Active NPI

Humam Jassim Hussien, DC

  • Chiropractor
  • Urbandale, IA
National Provider Identifier
1700479029
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
106810 Issued in IA
Practice address
8088 Douglas Ave
Urbandale, IA 50322-2450
Phone
(515) 252-7070
Fax
(515) 225-0123
NPI assigned
Feb 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 106810 IA Primary

Addresses

Primary practice location

8088 Douglas Ave
Urbandale, IA 50322-2450

Mailing address

1905 Ep True Pkwy
Ste 207
West Des Moines, IA 50265-7056
Phone (515) 309-3791

Other practice location 1

7205 Vista Dr Ste 104
West Des Moines, IA 50266-9360
Phone (515) 225-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210301001344 IA Practitioner - Chiropractic 2264848175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ep True Chiropractic Inc.Group PAC ID 8325030950, 4 clinicians

Practice addresses (Care Compare)

1905 Ep True Pkwy
Suite 207
West Des Moines, IA 50265-7056
Phone (515) 309-3791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1700479029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 EP TRUE PKWY",
            "address_2": "STE 207",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502657056",
            "telephone_number": "515-309-3791",
            "fax_number": "515-309-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8088 DOUGLAS AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222450",
            "telephone_number": "515-252-7070",
            "fax_number": "515-225-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7205 Vista Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502669360",
            "country_code": "US",
            "telephone_number": "515-225-9200",
            "fax_number": "515-225-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSIEN",
        "first_name": "HUMAM",
        "middle_name": "JASSIM",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "106810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.