Blake Lowell Haan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AO5865 Issued in IA

Practice address

304 SE Delaware Ave
Ankeny, IA 50021-9346

Phone

(515) 965-1643

Fax

(515) 963-4394

NPI assigned

Jan 22, 2007

Last updated

Mar 4, 2008By the provider in NPPES

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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Associates, LLC

  • Chiropractor
  • Ankeny, IA
  • NPI 1932370582
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1780738492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SE DELAWARE AVE",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219346",
            "telephone_number": "515-965-1643",
            "fax_number": "515-963-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SE DELAWARE AVE",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219346",
            "telephone_number": "515-965-1643",
            "fax_number": "515-963-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAN",
        "first_name": "BLAKE",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "AO5865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51847",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• GRX Holdings, LLC (Medicap Pharmacy)
• Guardian Pharmacy of Iowa LLC
• Guardian Pharmacy of Iowa, LLC
• Ashley Gullett, DO
• George M Gura, DO
• Mary Haas, DO
• Addison Haines
• Tori Hale
• Shannon Marie Haley-Funcke
• Daniel M Halfman, DPT

• Chiropractor in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.