Individual provider Active NPI

Steven Zakhariy Fishman, D.C.

  • Chiropractor
  • Fort Dodge, IA
National Provider Identifier
1265196729
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
110544 Issued in IA
Practice address
20 N 29TH St
Fort Dodge, IA 50501-2990
Phone
(515) 227-7491
Fax
(888) 594-7231
NPI assigned
Oct 29, 2021
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 110544 IA Primary

Addresses

Primary practice location

20 N 29TH St
Fort Dodge, IA 50501-2990

Mailing address

20 N 29TH St
Fort Dodge, IA 50501-2990
Phone (515) 227-7491

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101001306 IA Practitioner - Chiropractic 9931597580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humpal Chiropractic, LLCGroup PAC ID 5496013419, 4 clinicians

Practice addresses (Care Compare)

1210 Jordan St
Suite 2a
North Liberty, IA 52317-8031
Phone (319) 325-3558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110544IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua J. Mason DC PC Chiropractor CurrentSince Oct 31, 2021 Accepting new patients
Family Chiropractic of the 4 States PC Chiropractor Current Accepting new patients
Humpal Chiropractic, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

20 N 29th St
Fort Dodge, IA 50501
Phone (515) 227-7491

1210 Jordan St
Ste 2A
North Liberty, IA 52317
Phone (319) 325-3558

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1265196729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N 29TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012990",
            "telephone_number": "515-227-7491",
            "fax_number": "888-594-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N 29TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012990",
            "telephone_number": "515-227-7491",
            "fax_number": "888-594-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "STEVEN",
        "middle_name": "ZAKHARIY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "110544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.