Active NPI
Deanna Jean Rogge, D.C.
- Chiropractor
- Council Bluffs, IA
National Provider Identifier
1912175878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04927
- Practice address
- 103 North Ave
Ste 4
Council Bluffs, IA 51503-1670 - Phone
- (712) 322-8504
- Fax
- (402) 614-5823
- NPI assigned
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04927 | IA | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 000972 | NE | |
| Rehabilitation Chiropractor | 111NR0400X | 004927 | IA | |
| Chiropractor | 111N00000X | 000972 | NE |
Addresses
Primary practice location
103 North Ave
Ste 4
Council Bluffs, IA 51503-1670
Mailing address
502 N 40TH St
Omaha, NE 68131-1823
Phone (402) 515-0899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350038039 | Other | IA | PALMETTO GBA RAILROAD MED |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004927 | IA | MD | Rehabilitation Chiropractor |
| 000972 | NE | MD | Rehabilitation Chiropractor |
| 04927 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogge Family Chiropractic Healing Center LLC | Chiropractor | Past | Accepting new patients |
| Rogge Family Chiropractic Healing Center LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Council Bluffs, IA
- NPI 1942553383
-
- Chiropractor
- Omaha, NE
- NPI 1881943330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382313600000",
"number": "1912175878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 N 40TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681311823",
"telephone_number": "402-515-0899",
"fax_number": "402-614-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 NORTH AVE",
"address_2": "STE 4",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515031670",
"telephone_number": "712-322-8504",
"fax_number": "402-614-5823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGGE",
"first_name": "DEANNA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "04927",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NE",
"license": "000972",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IA",
"license": "004927",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "000972",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD MED",
"identifier": "350038039",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.