Individual provider Active NPI

Joseph Edward Knebel, D.C.

  • Chiropractor
  • Evansdale, IA
National Provider Identifier
1841379385
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06911 Issued in IA
Practice address
209 S Evans Rd
Evansdale, IA 50707-1121
Phone
(319) 234-4872
Fax
(319) 236-0670
NPI assigned
Nov 3, 2006
Last updated
Jun 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06911 IA Primary

Addresses

Primary practice location

209 S Evans Rd
Evansdale, IA 50707-1121

Mailing address

209 S Evans Rd
Evansdale, IA 50707-1121
Phone (319) 234-4872

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
06911IAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Evansdale Chiropractic Clinic, PLC Chiropractor PastSince Sep 26, 1995 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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1841379385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S EVANS RD",
            "city": "EVANSDALE",
            "state": "IA",
            "postal_code": "507071121",
            "telephone_number": "319-234-4872",
            "fax_number": "319-236-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S EVANS RD",
            "city": "EVANSDALE",
            "state": "IA",
            "postal_code": "507071121",
            "telephone_number": "319-234-4872",
            "fax_number": "319-236-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEBEL",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansdale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.