BOUNTHONG TOBY THEPSOUMPHONE DC, LMT, BS
NPI 1679232730
Chiropractor in Davenport, IA
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
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Bounthong Thepsoumphone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Des Moines, IA 50265
- Reassigned Medicare billing, Iowa enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Bounthong Thepsoumphone located?
Bounthong Thepsoumphone practices at 621 E Kimberly Rd, Davenport, IA 52807. The listed phone number is (563) 359-1985.
What is Bounthong Thepsoumphone's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Bounthong Thepsoumphone enrolled in Medicare?
Yes. Bounthong Thepsoumphone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Bounthong Thepsoumphone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bounthong Thepsoumphone reassigns Medicare benefits to Vero Chiropractic PLLC (West Des Moines, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bounthong Thepsoumphone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bounthong Thepsoumphone was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bounthong Toby Thepsoumphone, DC, LMT, BS · NPI 1679232730
Chiropractor provider in Davenport, Iowa. Individual provider, active in the CMS NPPES registry since December 15, 2021.
## Identity
- **NPI:** 1679232730 (Entity type: Individual)
- **Enumerated:** December 15, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 115283 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 621 E KIMBERLY RD, Davenport, IA 52807-1623
- **Phone:** (563) 359-1985
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Vero Chiropractic PLLC (NPI 1841731171, West Des Moines, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2022
## Record status
- **NPPES last updated:** July 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679232730) · Data from the CMS NPPES public registry.