Rock Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ROCK CHIROPRACTIC

Practice address

721 8TH St SE
Orange City, IA 51041-7451

Phone

(712) 737-6824

Fax

(712) 737-6426

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Sarah Louise Raak, DCNPI 1891044921

Title

Owner

Phone

(712) 737-6824

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stange Chiropractic Clinic LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Louise Raak, D.C,

  • Chiropractor
  • Orange City, IA
  • NPI 1891044921
  Medicare reassignment NPD Authorized official
• Daron Kenneth Dejong, DC

  • Chiropractor
  • Orange City, IA
  • NPI 1902866957
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1700845138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 8TH STREET SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510417451",
            "telephone_number": "712-737-6824",
            "fax_number": "712-737-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 8TH ST SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510417451",
            "telephone_number": "712-737-6824",
            "fax_number": "712-737-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "RAAK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-737-6824",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273631",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS IA",
            "identifier": "31143",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stange Chiropractic Clinic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.