Active NPI
Timothy John Kronlage, D. C.
- Chiropractor
- Dubuque, IA
National Provider Identifier
1740435692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007270
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 007270 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubuque Family Chiropractic P.L.L.C. | Chiropractor | Current | 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.
-
- Chiropractor
- Dubuque, IA
- NPI 1659674976
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.