Robert J Verdoorn PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05415 Issued in IA

Legal business name

ROBERT J VERDOORN PC

Doing business as

Sherwood Forest Chiropractic

Practice address

7546 Hickman Rd
Windsor Heights, IA 50322-4621

Phone

(515) 254-0555

Fax

(515) 254-0300

NPI assigned

Mar 6, 2008

Last updated

Mar 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert J Verdoorn, DCNPI 1629067699

Title

President

Phone

(515) 254-0555

Specialties & licenses 1

Addresses

Other names 1

• Sherwood Forest Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert J Verdoorn, D.C.

  • Chiropractor
  • Windsor Heights, IA
  • NPI 1629067699
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1851561765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7546 HICKMAN RD",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503224621",
            "telephone_number": "515-254-0555",
            "fax_number": "515-254-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7546 HICKMAN RD",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503224621",
            "telephone_number": "515-254-0555",
            "fax_number": "515-254-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J VERDOORN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "VERDOORN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-254-0555",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherwood Forest Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Windsor Heights, IA
• Providers in Windsor Heights, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.