Individual provider Active NPI

Timothy John Kronlage, D. C.

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1740435692
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007270 Issued in IA
Practice address
2055 Holliday Dr 420
Dubuque, IA 52002-0415
Phone
(563) 590-6620
Fax
(563) 582-0782
NPI assigned
Nov 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007270 IA Primary

Addresses

Primary practice location

2055 Holliday Dr 420
Dubuque, IA 52002-0415

Mailing address

2055 Holliday Dr 420
Dubuque, IA 52002-0415
Phone (563) 590-6620

Other practice location 1

1803 Wehrli Rd
Naperville, IL 60565-9306
Phone (630) 527-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000063 IA Practitioner - Chiropractic 6709068588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2055 Holliday Dr
Suite 420
Dubuque, IA 52002-0417
Phone (563) 582-1531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007270IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dubuque Family Chiropractic P.L.L.C. Chiropractor CurrentSince Jan 9, 2011 Accepting new patients

Locations

2055 Holliday Dr
Ste 420
Dubuque, IA 52002
Phone (563) 582-1531

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": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1740435692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 HOLLIDAY DR 420",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520020415",
            "telephone_number": "563-590-6620",
            "fax_number": "563-582-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 HOLLIDAY DR 420",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520020415",
            "telephone_number": "563-590-6620",
            "fax_number": "563-582-0782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 Wehrli Rd",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605659306",
            "country_code": "US",
            "telephone_number": "630-527-9100",
            "fax_number": "630-527-9129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRONLAGE",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.