Individual provider Active NPI

Brett J Rohlfsen, DC

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1922016542
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05530 Issued in IA
Practice address
640 S 50TH St
Ste 1120
West Des Moines, IA 50265-6993
Phone
(515) 222-1689
Fax
(515) 222-0162
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05530 IA Primary

Addresses

Primary practice location

640 S 50TH St
Ste 1120
West Des Moines, IA 50265-6993

Mailing address

640 S 50TH St
Ste 1120
West Des Moines, IA 50265-6993
Phone (515) 222-1689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609001083 IA Practitioner - Chiropractic 6103869169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

640 S 50TH St
Suite 1120
West Des Moines, IA 50265-6993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1922016542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S 50TH ST",
            "address_2": "STE 1120",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656993",
            "telephone_number": "515-222-1689",
            "fax_number": "515-222-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S 50TH ST",
            "address_2": "STE 1120",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656993",
            "telephone_number": "515-222-1689",
            "fax_number": "515-222-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHLFSEN",
        "first_name": "BRETT",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.