Individual provider Active NPI

Nicholas John Nerem, D.C.

  • Chiropractor
  • Grimes, IA
National Provider Identifier
1275691867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06928 Issued in IA
Practice address
925 Gateway Dr.
Suite 200
Grimes, IA 50111
Phone
(515) 986-1400
Fax
(515) 986-7111
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06928 IA Primary

Addresses

Primary practice location

925 Gateway Dr.
Suite 200
Grimes, IA 50111

Mailing address

1012 S 4TH St
Grimes, IA 50111-1144
Phone (515) 986-9913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000539 IA Practitioner - Chiropractic 7911908694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nerem Family Chiropractic IncGroup PAC ID 0547363046, 2 clinicians

Practice addresses (Care Compare)

925 SE Gateway Dr
Grimes, IA 50111-6638
Phone (515) 986-1400

925 SE Gateway Dr
Suite 300
Grimes, IA 50111-6632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275691867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 S 4TH ST",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501111144",
            "telephone_number": "515-986-9913",
            "fax_number": "515-986-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 GATEWAY DR.",
            "address_2": "SUITE 200",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "50111",
            "telephone_number": "515-986-1400",
            "fax_number": "515-986-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEREM",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.