Individual provider Active NPI

Nathaniel Biegler, DC

  • Chiropractor
  • Leesburg, FL
National Provider Identifier
1215562145
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13092 Issued in FL
Practice address
32629 Blossom LN
Leesburg, FL 34788-3907
Phone
(352) 326-2481
NPI assigned
Mar 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13092 FL Primary

Addresses

Primary practice location

32629 Blossom LN
Leesburg, FL 34788-3907

Mailing address

1010 Riviera Dr
Leesburg, FL 34748-6742
Phone (407) 462-5773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114001607 FL Practitioner - Chiropractic 6204249105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

32629 Blossom LN
Leesburg, FL 34788-3907
Phone (352) 326-2481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13092FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Square Chiropractic, P.a. Chiropractor CurrentSince Jul 9, 2020 Accepting new patients

Locations

32629 Blossom Ln
Leesburg, FL 34788
Phone (352) 326-2481

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1215562145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 RIVIERA DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486742",
            "telephone_number": "407-462-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32629 BLOSSOM LN",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883907",
            "telephone_number": "352-326-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEGLER",
        "first_name": "NATHANIEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.