1003952953 NPI number — DR. RICHARD LEROY PFLEPSEN D.C.

Table of content: REBECCA L PENGILLY MD (NPI 1184603680)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003952953 NPI number — DR. RICHARD LEROY PFLEPSEN D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PFLEPSEN
Provider First Name:
RICHARD
Provider Middle Name:
LEROY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003952953
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 186
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLARKSVILLE
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50619-0186
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-278-4980
Provider Business Mailing Address Fax Number:
319-278-4908

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
116 S. MAIN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLARKSVILLE
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-278-4980
Provider Business Practice Location Address Fax Number:
319-278-4908
Provider Enumeration Date:
01/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111NN1001X , with the licence number:  AO5141 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 175F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 251224 . This is a "MIDLANDS CHOICE" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 131916 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 14249 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 276993 . This is a "COVENTRY" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".




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