Nicolas Llloyd Nanninga, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006983 Issued in IA

Practice address

4656 NW 86TH Street
Urbandale, IA 50322-0503

Phone

(515) 251-7977

Fax

(515) 252-6363

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Discover Chiropractic LLC

  • Chiropractor
  • Urbandale, IA
  • NPI 1750762241
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1255539268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 NW 86TH STREET",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503220503",
            "telephone_number": "515-251-7977",
            "fax_number": "515-252-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4656 NW 86TH STREET",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503220503",
            "telephone_number": "515-251-7977",
            "fax_number": "515-252-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANNINGA",
        "first_name": "NICOLAS",
        "middle_name": "LLLOYD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "006983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy B Muller, OD
• Alisa Kaye Munzenmaier, LMT
• Jacob Gregory Murray, DO
• Peter Mwangi
• Kori Jo Nagel, PHARM D
• Jeni R Nash, L.I.S.W.
• National Seating & Mobility, Inc
• NCS Healthcare of Iowa, LLC
• Patrick Ndabaruta
• Neighborhood LTC Pharmacy Inc.

• Chiropractor in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.