Individual provider Active NPI

Gregory Dean Ploeger, D.C.

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1831537257
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007627 Issued in IA
Practice address
1105 W 4TH St
Davenport, IA 52802-3512
Phone
(712) 263-0801
NPI assigned
Jun 7, 2013
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007627 IA Primary

Addresses

Primary practice location

1105 W 4TH St
Davenport, IA 52802-3512

Mailing address

417 Main St
# 507
Slater, IA 50244-7781
Phone (712) 263-0801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021001396 IA Practitioner - Chiropractic 2062647415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

417 Main St
Suite 507
Slater, IA 50244-7781
Phone (515) 228-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007627IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carrel Family Chiropractic Clinic, P.C. Chiropractor CurrentSince Dec 28, 2013 Accepting new patients

Locations

501 E 4th St
Huxley, IA 50124
Phone (515) 228-3300

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": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1831537257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MAIN ST",
            "address_2": "# 507",
            "city": "SLATER",
            "state": "IA",
            "postal_code": "502447781",
            "telephone_number": "712-263-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W 4TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528023512",
            "telephone_number": "712-263-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOEGER",
        "first_name": "GREGORY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.