Individual provider Active NPI

Nathan Paul Ligtenberg, D.C.

  • Chiropractor
  • Canistota, SD
National Provider Identifier
1023063666
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1258 Issued in SD
Practice address
209 W Main St
Canistota, SD 57012-0157
Phone
(605) 296-3431
Fax
(605) 296-3565
NPI assigned
May 23, 2006
Last updated
Jun 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1258 SD Primary

Addresses

Primary practice location

209 W Main St
Canistota, SD 57012-0157

Mailing address

209 W Main St
PO Box 157
Canistota, SD 57012-0157
Phone (605) 296-3431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140703001150 SD Practitioner - Chiropractic 8224036868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortman ClinicGroup PAC ID 6305833187, 5 clinicians

Practice addresses (Care Compare)

209 W Main
Canistota, SD 57012-2046
Phone (605) 296-3431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5663COMDMental Health Counselor
1258SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortman Clinic Chiropractor CurrentSince Jul 1, 2014 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1023063666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "address_2": "PO BOX 157",
            "city": "CANISTOTA",
            "state": "SD",
            "postal_code": "570120157",
            "telephone_number": "605-296-3431",
            "fax_number": "605-296-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "city": "CANISTOTA",
            "state": "SD",
            "postal_code": "570120157",
            "telephone_number": "605-296-3431",
            "fax_number": "605-296-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGTENBERG",
        "first_name": "NATHAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canistota, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.