Individual provider Active NPI

Heath Charles Nagel, DC

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1124253224
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002392A Issued in IN
Practice address
2050 E Dupont Rd
Fort Wayne, IN 46825
Phone
(260) 444-2080
Fax
(260) 444-2303
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002392A IN Primary

Addresses

Primary practice location

2050 E Dupont Rd
Fort Wayne, IN 46825

Mailing address

2050 E Dupont Rd
Fort Wayne, IN 46825-1583
Phone (260) 444-2080

Other practice location 1

3386 County Road 427
Waterloo, IN 46793-9532
Phone (260) 837-6331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontdesk@truewellnesschiro.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000489 IN Practitioner - Chiropractic 4183765605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2050 E Dupont Rd
Fort Wayne, IN 46825-1583
Phone (260) 444-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002392AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Heath Nagel PC Chiropractor CurrentSince May 27, 2010 Accepting new patients
Dr Lee Nagel PC Chiropractor PastSince Nov 12, 2009 Accepting new patients

Locations

2050 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 444-2080

918 Woodland Plaza Run
Ste B
Fort Wayne, IN 46825
Phone (260) 444-2080

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1124253224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251583",
            "telephone_number": "260-444-2080",
            "fax_number": "260-444-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-444-2080",
            "fax_number": "260-444-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3386 County Road 427",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IN",
            "postal_code": "467939532",
            "country_code": "US",
            "telephone_number": "260-837-6331",
            "fax_number": "260-837-7938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "HEATH",
        "middle_name": "CHARLES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002392A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@truewellnesschiro.com",
            "affiliation": "N",
            "address_1": "2050 E DuPont Rd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.