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Ethan Pottebaum, DC

  • Clive, IA
  • Chiropractor
NPI1568284958PAC ID3577097856
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2024
Practice address
15920 Hickman Rd, Clive, IA 50325
Practice phone
Call (515) 987-9574
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Healthsource Of Clive

Chiropractic practice · Clive, Iowa

See all 2 affiliations

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Ethan Pottebaum is a chiropractor in Clive, Iowa

Ethan Pottebaum practices at Healthsource Of Clive in Clive, Iowa.

Ethan Pottebaum's NPI, 1568284958, was assigned on October 28, 2024. Ethan Pottebaum graduated from Palmer College Chiropractic - Davenport in 2024. Ethan Pottebaum holds Iowa license 128252.

NPI and contact details
NPI
1568284958NPI Registry (opens in a new tab)
Medicare PAC ID
3577097856
NPI enumeration date
October 28, 2024
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(515) 987-9574
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
28
Medical school graduation
2024

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Ethan Pottebaum practices at Healthsource of Clive in Clive, Iowa

Ethan Pottebaum's primary practice is Healthsource of Clive, at 15920 Hickman Rd, Clive, IA 50325. The practice phone is (515) 987-9574.

  • Healthsource of Clive
    15920 Hickman Rd, Clive, IA 50325Phone(515) 987-9574

Source: Dmand AI Affiliation Data

Ethan Pottebaum is affiliated with 1 site of care and 1 medical group

Ethan Pottebaum's primary practice is Healthsource Of Clive in Clive, Iowa. Dmand AI also links Ethan Pottebaum to 1 medical group, named with a free account.

Healthsource Of CliveChiropractic practice · Clive, IowaPrimary
1 medical groupName with a free account
See all 2 affiliations for Ethan Pottebaum

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Ethan Pottebaum's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Ethan Pottebaum practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Healthsource Of CliveAvailable with a free account
+1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Ethan Pottebaum is one of 1,248 chiropractors in Iowa

Chiropractor is Ethan Pottebaum's primary specialty in the NPI Registry, under taxonomy code 111N00000X. Ethan Pottebaum is licensed in Iowa.

Specialties and state licenses

  • Chiropractor, IowaPrimaryLicense 128252 · taxonomy 111N00000X

Chiropractors near Ethan Pottebaum

Counts of chiropractors with a Dmand AI profile, by place and practice. Each opens the list.

1,248chiropractors in Iowa26chiropractors in Clive

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Ethan Pottebaum's patients have a median age of 44

Across all payers, Dmand AI patient panel data puts Ethan Pottebaum's median patient age at 44, with 54% women.

Ethan Pottebaum's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 44

Patient panel by sex, all payers

  • Women54%
  • Men45%

Source: Dmand AI Patient Panel Data

How Ethan Pottebaum takes part in Medicare

Ethan Pottebaum accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Ethan Pottebaum graduated from Palmer College Chiropractic - Davenport

Ethan Pottebaum graduated from Palmer College Chiropractic - Davenport in 2024.

  1. Medical schoolPalmer College Chiropractic - Davenport

Source: Dmand AI Professional Profile Data

Sources for Ethan Pottebaum's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Ethan Pottebaum

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Ethan Pottebaum's NPI number?

Ethan Pottebaum's NPI number is 1568284958. It was assigned on October 28, 2024, and it is active in the NPI Registry.

What does Ethan Pottebaum specialize in?

Ethan Pottebaum is a chiropractor in Clive, Iowa. The primary specialty in the NPI Registry is Chiropractor (taxonomy code 111N00000X).

Where does Ethan Pottebaum practice?

Ethan Pottebaum practices at 15920 Hickman Rd, Clive, IA 50325. Ethan Pottebaum's primary practice is Healthsource Of Clive in Clive, Iowa. Dmand AI also links Ethan Pottebaum to 1 medical group.

What is Ethan Pottebaum's office phone number?

The practice phone on file for Ethan Pottebaum is (515) 987-9574.

What is Ethan Pottebaum's medical license number?

Ethan Pottebaum holds Iowa license 128252.

Does Ethan Pottebaum accept Medicare?

Yes. CMS lists Ethan Pottebaum as accepting Medicare assignment.

Where did Ethan Pottebaum go to medical school?

Ethan Pottebaum graduated from Palmer College Chiropractic - Davenport in 2024.

How long has Ethan Pottebaum been practicing?

Ethan Pottebaum graduated from medical school in 2024, 2 years ago.

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