Organization Active NPI

Vosberg Chiropractic LLC

Doing business as Team Chiropractic and Rehabilitation

  • Clinic/Center
  • Johnston, IA
National Provider Identifier
1780012005
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
007704 Issued in IA
Legal business name
VOSBERG CHIROPRACTIC LLC
Doing business as
Team Chiropractic and Rehabilitation
Practice address
8191 Birchwood CT
Suite C
Johnston, IA 50131-2931
Phone
(515) 276-8326
Fax
(515) 276-5405
NPI assigned
Oct 23, 2013
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Dr. Brock Andrew Vosberg, D.C.NPI 1558799403
Title
Owner
Phone
(515) 276-8326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 007704 IA Primary

Addresses

Primary practice location

8191 Birchwood CT
Suite C
Johnston, IA 50131-2931

Mailing address

8191 Birchwood CT
Suite C
Johnston, IA 50131-2931
Phone (515) 276-8326

Other names 1

  • Team Chiropractic and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140311001907 IA Part B Supplier - Clinic/Group Practice 0446480511 Receives reassigned benefits from 1 practitioner
Practice locations: Johnston, IA

National Provider Directory

National Provider Directory

Locations

5619 NW 86th St
Ste 400
Johnston, IA 50131
Phone (515) 276-8326

8191 Birchwood Ct
Unit C
Johnston, IA 50131
Phone (515) 259-0321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1780012005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 BIRCHWOOD CT",
            "address_2": "SUITE C",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312931",
            "telephone_number": "515-276-8326",
            "fax_number": "515-276-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 BIRCHWOOD CT",
            "address_2": "SUITE C",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312931",
            "telephone_number": "515-276-8326",
            "fax_number": "515-276-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOSBERG CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "VOSBERG",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-276-8326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "007704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Chiropractic and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.