Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Pottebaum, DC

Individual provider Chiropractor · NPI 1568284958

Dr. Ethan Pottebaum, DC is a Chiropractic in Clive, Iowa. Graduated from Palmer College Chiropractic - Davenport in 2024, 2 years ago. Accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
2
Trained at
Palmer College Chiropractic - Davenport
Licensed in
IA
In the registry since
2024
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

15920 Hickman Rd Ste 900
Clive, IA 50325-8013
Phone: (515) 987-9574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 128252 (IA)

Record details

NPI number1568284958
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address15920 Hickman Rd Ste 900, Clive, IA 50325-8013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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