Individual provider Active NPI

Karl W. Nixdorf, D.C.

  • Chiropractor
  • Englewood Cliffs, NJ
National Provider Identifier
1154343127
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00468200 Issued in NJ
Practice address
617 E Palisade Ave
Englewood Cliffs, NJ 07632-1831
Phone
(201) 871-4100
Fax
(201) 871-1627
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00468200 NJ Primary

Addresses

Primary practice location

617 E Palisade Ave
Englewood Cliffs, NJ 07632-1831

Mailing address

617 E Palisade Ave
Englewood Cliffs, NJ 07632-1831
Phone (201) 871-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181217000088 NJ Practitioner - Chiropractic 3971848151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

179 Cedar LN
Suite B
Teaneck, NJ 07666-4304
Phone (201) 907-5092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00468200NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Balance Center of NJ, LLC Chiropractor CurrentSince Oct 16, 2018 Accepting new patients
Debra L. Davis, PHD Limited Liability Company Past Accepting new patients
Associates in Chiropractic Family Health & Wellness Center, P.a. Past Accepting new patients

Locations

179 Cedar Ln
Ste B
Teaneck, NJ 07666
Phone (201) 591-3141

Organizations & group practices 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154343127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321831",
            "telephone_number": "201-871-4100",
            "fax_number": "201-871-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321831",
            "telephone_number": "201-871-4100",
            "fax_number": "201-871-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXDORF",
        "first_name": "KARL",
        "middle_name": "W.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00468200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.