Individual provider Active NPI

Jennifer Ann Knobbe, D.C.

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1982975835
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007471 Issued in IA
Practice address
3405 N Ankeny Blvd
Ankeny, IA 50023-4709
Phone
(515) 964-5404
Fax
(515) 964-1606
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007471 IA Primary

Addresses

Primary practice location

3405 N Ankeny Blvd
Ankeny, IA 50023-4709

Mailing address

3405 N Ankeny Blvd
Ankeny, IA 50023-4709
Phone (515) 964-5404

Other practice location 1

5115 NE Jan Rose Pkwy
Ankeny, IA 50021-6843
Phone (515) 802-6044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120424000264 IA Practitioner - Chiropractic 9436311255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3405 N Ankeny Blvd
Ankeny, IA 50023-4709
Phone (515) 964-5404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007471IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Health Chiropractic and Acupuncture LLC Chiropractor CurrentSince Mar 15, 2012 Accepting new patients

Locations

3405 N Ankeny Blvd
Ankeny, IA 50023
Phone (515) 964-5404

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1982975835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234709",
            "telephone_number": "515-964-5404",
            "fax_number": "515-964-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234709",
            "telephone_number": "515-964-5404",
            "fax_number": "515-964-1606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 NE Jan Rose Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500216843",
            "country_code": "US",
            "telephone_number": "515-802-6044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOBBE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007471",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 15, 2020; 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.