Douglas E. Nielsen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05411 Issued in IA

Practice address

1315 Golf Course Rd
Rock Valley, IA 51247-1548

Phone

(712) 476-2841

Fax

(712) 476-5085

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rock Valley Chiropractic, LLC

  • Chiropractor
  • Rock Valley, IA
  • NPI 1407271208
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1740282920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 GOLF COURSE RD",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471548",
            "telephone_number": "712-476-2841",
            "fax_number": "712-476-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 GOLF COURSE RD",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471548",
            "telephone_number": "712-476-2841",
            "fax_number": "712-476-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "DOUGLAS",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH SYSTE",
            "identifier": "21559",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0271817",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27181",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Martens, LMHC
• Nicolette Menke
• April Metzger
• Coreen Lynn Montag, D.C.
• Eugene Nduru, BCBA
• Elissa Ann O'Dell, TLMHC
• Pembers Drug Inc
• Donna Reit, LMHC
• Rise ABA LLC
• Rock Valley Assisted Living LLC

• Chiropractor in Rock Valley, IA
• Providers in Rock Valley, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.