Active NPI
Herzberg Chiropractic, P.C.
- Chiropractor
- Clarinda, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06456
- Legal business name
- HERZBERG CHIROPRACTIC, P.C.
- Practice address
- 112 N 16TH St
Clarinda, IA 51632-1601 - Phone
- (712) 542-1404
- Fax
- (712) 542-2815
- NPI assigned
- Oct 2, 2007
- Last updated
- Sep 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kasey George Herzberg, DC
- Title
- President
- Phone
- (712) 542-1404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06456 | IA | Primary |
Addresses
Primary practice location
112 N 16TH St
Clarinda, IA 51632-1601
Mailing address
112 N 16TH St
Clarinda, IA 51632-1601
Phone (712) 542-1404
Other practice location 1
811 Main St
Hamburg, IA 51640-1120
Phone (712) 542-1404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316134547 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
112 N 16th St
Clarinda, IA 51632
Phone (712) 542-1404
112 N 16th St
#A
Clarinda, IA 51632
Phone (712) 542-1404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Clarinda, IA
- NPI 1023028271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663027200000",
"number": "1316134547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N 16TH ST",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516321601",
"telephone_number": "712-542-1404",
"fax_number": "712-542-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N 16TH ST",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516321601",
"telephone_number": "712-542-1404",
"fax_number": "712-542-2815"
}
],
"practiceLocations": [
{
"address_1": "811 Main St",
"address_purpose": "LOCATION",
"city": "Hamburg",
"state": "IA",
"postal_code": "516401120",
"country_code": "US",
"telephone_number": "712-542-1404",
"fax_number": "712-667-2110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HERZBERG CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A",
"authorized_official_last_name": "HERZBERG",
"authorized_official_first_name": "KASEY",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "712-542-1404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "06456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316134547",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarinda, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.