Active NPI
Kasey George Herzberg, D.C.
- Chiropractor
- Clarinda, IA
National Provider Identifier
1023028271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06456
- Practice address
- 112 N 16TH St
Suite a
Clarinda, IA 51632-1601 - Phone
- (712) 542-1404
- Fax
- (712) 542-2815
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06456 | IA | Primary |
Addresses
Primary practice location
112 N 16TH St
Suite a
Clarinda, IA 51632-1601
Mailing address
112 N 16TH St
Suite a
Clarinda, IA 51632-1601
Phone (712) 542-1404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0298257 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
112 N 16TH St
Suite a
Clarinda, IA 51632-1601
Phone (712) 542-1404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06456 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herzberg Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
Locations
112A N 16th St
Clarinda, IA 51632
Phone (712) 542-8046
112 N 16th St
#A
Clarinda, IA 51632
Phone (712) 542-1404
Networks
- CO HMO D-SNP
- IA HMO C-SNP
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- IA HMO
- CO HMO
Organizations & group practices 1
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.
-
- Chiropractor
- Clarinda, IA
- NPI 1316134547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1023028271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N 16TH ST",
"address_2": "SUITE A",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516321601",
"telephone_number": "712-542-1404",
"fax_number": "712-542-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N 16TH ST",
"address_2": "SUITE A",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516321601",
"telephone_number": "712-542-1404",
"fax_number": "712-542-2815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZBERG",
"first_name": "KASEY",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0298257",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarinda, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.