Individual provider Active NPI

Danielle Marie Coppin, D.C.

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1861898496
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
076049 Issued in IA
Practice address
1310 SW State St
Suite B
Ankeny, IA 50023-2550
Phone
(515) 965-8280
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 076049 IA Primary

Addresses

Primary practice location

1310 SW State St
Suite B
Ankeny, IA 50023-2550

Mailing address

1310 SW State St
Suite B
Ankeny, IA 50023-2550
Phone (515) 965-8280

Other identifiers 1

IdentifierTypeStateIssuer
1457466328MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150205002334 IA Practitioner - Chiropractic 4880919299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Wellness Chiropractic PLLCGroup PAC ID 1759668254, 2 clinicians

Practice addresses (Care Compare)

215 NW 18TH St
Suite 101
Ankeny, IA 50023-4282
Phone (515) 964-1090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076049IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Wellness Chiropractic, PLLC Chiropractor CurrentSince May 4, 2017 Accepting new patients

Locations

215 NW 18th St
Ste 101
Ankeny, IA 50023
Phone (515) 442-5909

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": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1861898496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SW STATE ST",
            "address_2": "SUITE B",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232550",
            "telephone_number": "515-965-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SW STATE ST",
            "address_2": "SUITE B",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232550",
            "telephone_number": "515-965-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPIN",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "076049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457466328",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.