Individual provider Active NPI

David G Kassmeier, D.C.

  • Chiropractor
  • Norfolk, NE
National Provider Identifier
1003901174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1068 Issued in NE
Practice address
1502 N 13TH St
Norfolk, NE 68701-2381
Phone
(402) 371-6415
Fax
(402) 371-2883
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1068 NE Primary

Addresses

Primary practice location

1502 N 13TH St
Norfolk, NE 68701-2381

Mailing address

1502 N 13TH St
PO Box 1371
Norfolk, NE 68701-2381
Phone (402) 371-6415

Other identifiers 4

IdentifierTypeStateIssuer
47081337803MedicaidNE
09613OtherBLUE CROSS BLUE SHIELD
47081337805MedicaidNE
9613OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000089 NE Practitioner - Chiropractic 6800876335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
University of Nebraska College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DK Stover LLCGroup PAC ID 7315379112, 2 clinicians

Practice addresses (Care Compare)

1502 N 13TH St
Norfolk, NE 68701-2381
Phone (402) 371-6415

836 N Lincoln
Stover Chiropractic
West Point, NE 68788-1258
Phone (402) 372-3448

836 N Lincoln St
West Point, NE 68788-1258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DK Stover LLC Chiropractor CurrentSince Jan 1, 2020 Accepting new patients
Northeast Nebraska Chiropractic Associates, LLC Chiropractor CurrentSince Sep 1, 1998 Accepting new patients

Locations

1502 N 13th St
Ste 200
Norfolk, NE 68701

1502 N 13th St
Norfolk, NE 68701
Phone (402) 371-1360

836 N Lincoln St
West Point, NE 68788
Phone (402) 372-3448

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • CO HMO
  • IA HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IA HMO
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003901174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N 13TH ST",
            "address_2": "PO BOX 1371",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012381",
            "telephone_number": "402-371-6415",
            "fax_number": "402-371-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N 13TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012381",
            "telephone_number": "402-371-6415",
            "fax_number": "402-371-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSMEIER",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081337803",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09613",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081337805",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9613",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.