Active NPI
Wesley James Nyberg, DC
- Chiropractor
- Waukee, IA
National Provider Identifier
1194814855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06841
- Practice address
- 710 Alices Rd
Waukee, IA 50263-9646 - Phone
- (515) 978-6661
- Fax
- (515) 978-6662
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 06841 | IA | Primary |
Addresses
Primary practice location
710 Alices Rd
Waukee, IA 50263-9646
Mailing address
710 Alices Rd
Waukee, IA 50263-9646
Phone (515) 978-6661
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
- Palmer College Chiropractic - Davenport, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
710 SE Alices Rd
Waukee, IA 50263-9646
Phone (515) 978-6661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waukee Wellness & Chiropractic, PC | Chiropractor | Current | Accepting new patients |
| Midwest Chiropractic & Rehabilitation Centre | Chiropractor | Past | Accepting new patients |
Locations
710 SE Alices Rd
Waukee, IA 50263
Phone (515) 978-6661
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.
-
- Chiropractor
- Waukee, IA
- NPI 1225207939
-
dba Waukee Wellness & Chiropractic
- Chiropractor
- Waukee, IA
- NPI 1558316182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1194814855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 ALICES RD",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502639646",
"telephone_number": "515-978-6661",
"fax_number": "515-978-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 ALICES RD",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502639646",
"telephone_number": "515-978-6661",
"fax_number": "515-978-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYBERG",
"first_name": "WESLEY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.