Individual provider Active NPI

Chad Michael Niemeier, D.C.

  • Chiropractor
  • Lake Park, IA
National Provider Identifier
1083700579
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06762 Issued in IA
Practice address
222 Market Street
Lake Park, IA 51347-0246
Phone
(712) 832-3056
Fax
(712) 832-3360
NPI assigned
Oct 4, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 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 06762 IA Primary

Addresses

Primary practice location

222 Market Street
Lake Park, IA 51347-0246

Mailing address

PO Box 246
Lake Park, IA 51347-0246
Phone (712) 832-3056

Other identifiers 1

IdentifierTypeStateIssuer
1454371MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000280 IA Practitioner - Chiropractic 8426002841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Niemeier Spine and Sports Chiropractic PLCGroup PAC ID 9436180049, 2 clinicians

Practice addresses (Care Compare)

222 Market St
Lake Park, IA 51347-7866
Phone (712) 832-3056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Niemeier Spine & Sports Chiropractic PLC Chiropractor CurrentSince May 1, 2005 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1083700579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "LAKE PARK",
            "state": "IA",
            "postal_code": "513470246",
            "telephone_number": "712-832-3056",
            "fax_number": "712-832-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MARKET STREET",
            "city": "LAKE PARK",
            "state": "IA",
            "postal_code": "513470246",
            "telephone_number": "712-832-3056",
            "fax_number": "712-832-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMEIER",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454371",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.