Active NPI
Jacob Ryan Segebart, D.C.
- Chiropractor
- Harlan, IA
National Provider Identifier
1205124013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007440
- Practice address
- 515 Court St
Harlan, IA 51537-1439 - Phone
- (712) 733-4545
- NPI assigned
- Jul 13, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 007440 | IA | Primary |
Addresses
Primary practice location
515 Court St
Harlan, IA 51537-1439
Mailing address
1305 Brummer Dr
Denison, IA 51442-2828
Phone (712) 790-1497
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1607 4TH Ave S
Denison, IA 51442-2063
Phone (712) 263-6546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007440 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Segebart Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Cedar Valley Medical Specialists PC | Past | Accepting new patients | |
| Pitts Family & Sports Chiropractic CTRS PC | Chiropractor | Past | Accepting new patients |
Locations
1607 4th Ave S
Denison, IA 51442
Phone (712) 263-6546
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.
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- Chiropractor
- Denison, IA
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-
- Durable Medical Equipment & Medical Supplies
- Vinton, IA
- NPI 1659934180
-
- Chiropractor
- Harlan, IA
- NPI 1952467631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1205124013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 BRUMMER DR",
"city": "DENISON",
"state": "IA",
"postal_code": "514422828",
"telephone_number": "712-790-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 COURT ST",
"city": "HARLAN",
"state": "IA",
"postal_code": "515371439",
"telephone_number": "712-733-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGEBART",
"first_name": "JACOB",
"middle_name": "RYAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-13",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlan, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.