Active NPI
Douglas Gunderson, DC
- Chiropractor
- Ames, IA
National Provider Identifier
1811297351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007361
- Practice address
- 3515 Lincoln Way Ste 103
Ames, IA 50014-8428 - Phone
- (515) 233-2515
- NPI assigned
- Nov 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007361 | IA | Primary |
Addresses
Primary practice location
3515 Lincoln Way Ste 103
Ames, IA 50014-8428
Mailing address
3515 Lincoln Way Ste 103
Ames, IA 50014-8428
Phone (515) 233-2515
Other practice location 1
809 Wheeler St
Suite 109
Ames, IA 50010-4367
Phone (515) 233-2515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110303000262 | IA | Practitioner - Chiropractic | 2668653346 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3515 Lincoln Way
Suite 103
Ames, IA 50014-8428
Phone (515) 233-2515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1811297351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 LINCOLN WAY STE 103",
"city": "AMES",
"state": "IA",
"postal_code": "500148428",
"telephone_number": "515-233-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 LINCOLN WAY STE 103",
"city": "AMES",
"state": "IA",
"postal_code": "500148428",
"telephone_number": "515-233-2515"
}
],
"practiceLocations": [
{
"address_1": "809 Wheeler St",
"address_2": "Suite 109",
"address_purpose": "LOCATION",
"city": "Ames",
"state": "IA",
"postal_code": "500104367",
"country_code": "US",
"telephone_number": "515-233-2515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUNDERSON",
"first_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.