Intentional Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INTENTIONAL CHIROPRACTIC PC

Practice address

3640 Canterbury CT
Waterloo, IA 50702-5705

Phone

(641) 780-4192

NPI assigned

Feb 28, 2026

Organization subpart

No

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

Authorized official

Name

Matt Gronewold, DC

Title

Owner

Phone

(641) 780-4192

Specialties & licenses 1

Addresses

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.

• Matthew Gronewold, D.C.

  • Chiropractor
  • Pella, IA
  • NPI 1366836389
  Medicare reassignment Care Compare group NPD
• Lance E Vanderloo, D.C.

  • Chiropractor
  • Waterloo, IA
  • NPI 1003817305
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1772236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772236800000",
    "number": "1760337331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 CANTERBURY CT",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025705",
            "telephone_number": "641-780-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 CANTERBURY CT",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025705",
            "telephone_number": "641-780-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-28",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A",
        "authorized_official_last_name": "GRONEWOLD",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-780-4192",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.