Active NPI
David A Sherbondy, DC
- Chiropractor
- Burlington, IA
National Provider Identifier
1790837284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04082
- Practice address
- 3612 West Ave
Burlington, IA 52601-9456 - Phone
- (319) 754-5505
- Fax
- (319) 754-4133
- NPI assigned
- Jan 17, 2007
- Last updated
- Jan 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 02204082 | IA | |
| Chiropractor | 111N00000X | 04082 | IA | Primary |
Addresses
Primary practice location
3612 West Ave
Burlington, IA 52601-9456
Mailing address
3612 West Ave
Burlington, IA 52601-9456
Phone (319) 754-5505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02204082 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todd R Lange DC, PLLC | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1790837284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 WEST AVE",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526019456",
"telephone_number": "319-754-5505",
"fax_number": "319-754-4133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 WEST AVE",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526019456",
"telephone_number": "319-754-5505",
"fax_number": "319-754-4133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERBONDY",
"first_name": "DAVID",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "02204082",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "04082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, IA
- Eric Leigh Schweizer, DC
- Christina Marie Scott
- Sara J Scott, LMHC, NCC
- Self-Reliance
- Beverly Sherbondy, C.C.C.-SLP
- Eric James Shipley, ARNP, FNP-BC
- Matthew J Shivers, R.PH.
- Jennifer D. Shook, LCSW
- Shopko Stores Operating Co LLC (ShopKo Pharmacy 141)
- Shopko Stores Operating Co. LLC (ShopKo Optical 141)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.