Ross Aaron Groenendyk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007228 Issued in IA

Practice address

618 Washington St
Pella, IA 50219-1539

Phone

(641) 204-0029

Fax

(641) 204-0004

NPI assigned

Sep 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Healthsource Chiropractic and Progressive Rehab of Pella Inc

  • Chiropractor
  • Des Moines, IA
  • NPI 1811284235
  Medicare reassignment Authorized official
• Ep True Chiropractic Inc.

  • Chiropractor
  • West Des Moines, IA
  • NPI 1386859304
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1780917435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015W 3RD ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191307",
            "telephone_number": "641-204-0029",
            "fax_number": "641-204-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 WASHINGTON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191539",
            "telephone_number": "641-204-0029",
            "fax_number": "641-204-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROENENDYK",
        "first_name": "ROSS",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Lea Greiner, PA-C
• Rachel Ruth Grenier, ARNP, DNP
• Beth Nichole Grimes
• Matthew A. Gritters, M.D.
• Kara J Groenenboom, COTA
• Matthew Gronewold, D.C.
• Jessie Kae Grote
• Claire Marie Groth
• Deborah L Guild, RD LD
• Teresa A Halstead

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.