Organization Active NPI

Rohlfsen Chiropractic Clinic PC

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1942376546
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05530 Issued in IA
Legal business name
ROHLFSEN CHIROPRACTIC CLINIC PC
Practice address
640 S 50TH St
Ste 1120
West Des Moines, IA 50265-6993
Phone
(515) 222-1689
Fax
(515) 222-0162
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Brett J Rohlfsen, DCNPI 1922016542
Title
President
Phone
(515) 222-1689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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
O20090422000269 IA Part B Supplier - Clinic/Group Practice 4183771546 Receives reassigned benefits from 1 practitioner
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

640 S 50th St
Unit 1120
West Des Moines, IA 50265
Phone (515) 222-1689

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1942376546",
    "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": {
        "organization_name": "ROHLFSEN CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "ROHLFSEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-222-1689",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 20, 2009; 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.