Provider Demographics
NPI:1366445256
Name:LANGEL, RODNEY DALE (DC)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:DALE
Last Name:LANGEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5907 ASHWORTH RD
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-7109
Mailing Address - Country:US
Mailing Address - Phone:515-267-1600
Mailing Address - Fax:515-267-1700
Practice Address - Street 1:5907 ASHWORTH RD
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-7109
Practice Address - Country:US
Practice Address - Phone:515-267-1600
Practice Address - Fax:515-267-1700
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05784111N00000X
NC2124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1143701Medicaid
IA1659690998OtherGROUP/CORP. NPI NUMBER FOR LANGEL CHIROPRACTIC CLINIC P.C.
IA19694OtherBCBS PROVIDER ID
IA19694OtherBCBS PROVIDER ID
IAU52056Medicare UPIN