BOUNTHONG TOBY THEPSOUMPHONE DC, LMT, BS - NPI 1679232730

Q: What is Bounthong Thepsoumphone's NPI number?

The NPI number for Bounthong Thepsoumphone is 1679232730. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Q: What is Bounthong Thepsoumphone's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

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About Bounthong Toby Thepsoumphone Dc, Lmt, Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOUNTHONG TOBY THEPSOUMPHONE DC, LMT, BS (NPI 1679232730) is an individual chiropractor in Davenport, Iowa, licensed in Iowa (115283) and active in the NPI registry since December 2021. He maintains a secondary practice location in Bettendorf and is a graduate of Palmer College Chiropractic - Davenport (2022).

NPPES Registry Identity

NPI1679232730

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameBOUNTHONG TOBY THEPSOUMPHONECredential: DC, LMT, BS

Location Address621 E KIMBERLY RDDavenport, IA 52807-1623

Mailing Address2909 Hawthorne Dr Apt ABettendorf, IA 52722-2971 · (717) 339-6676

Phone(563) 359-1985

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2022

Enumeration DateDecember 15, 2021

Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration

NPPES CertifiedJuly 11, 2022

✔ NPI 1679232730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IA · 115283

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedMassage TherapistTaxonomy 225700000X · License 094910 (IA), MT-0004508 (DE)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

621 E KIMBERLY RD, Davenport, IA 52807

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Secondary Practice Location 1

Location 12909 Hawthorne Dr Apt ABettendorf, IA 52722-2971 · Phone (717) 339-6676

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bounthong Toby Thepsoumphone Dc, Lmt, Bs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436525797

PECOS Enrollment IDI20221012001661

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

283 services88 patients

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

202 services66 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARTER DAVID NAMETH DC

Chiropractor