Individual provider Active NPI

Margaret Jo Deboer, DC

  • Chiropractor
  • Rock Valley, IA
National Provider Identifier
1831669407
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
096128 Issued in IA
Practice address
966 Westview Dr
Rock Valley, IA 51247-7485
Phone
(712) 476-3355
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5342-12 WI
Chiropractor 111N00000X 096128 IA Primary

Addresses

Primary practice location

966 Westview Dr
Rock Valley, IA 51247-7485

Mailing address

W164 N11269 Squire Drive Suite B
Germantown, WI 53022
Phone (262) 250-1948

Other practice location 1

W164 N11269 Squire Drive Suite B
Germantown, WI 53022
Phone (262) 250-1948

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

LicenseStateTypeSpecialty
096128IAMDChiropractor
5342-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lyon County Chiropractic PC Chiropractor CurrentSince Jan 3, 2022 Accepting new patients

Locations

909 S Union St
Rock Rapids, IA 51246
Phone (712) 472-4732

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": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1831669407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W164 N11269 SQUIRE DRIVE SUITE B",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "53022",
            "telephone_number": "262-250-1948",
            "fax_number": "262-257-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 WESTVIEW DR",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512477485",
            "telephone_number": "712-476-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W164 N11269 Squire Drive Suite B",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "WI",
            "postal_code": "53022",
            "country_code": "US",
            "telephone_number": "262-250-1948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBOER",
        "first_name": "MARGARET",
        "middle_name": "JO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5342-12",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "096128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Valley, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.