Organization Active NPI

Nierman Chiropractic and Wellness LLC

  • Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1366750028
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
08002640A Issued in IN
Legal business name
NIERMAN CHIROPRACTIC AND WELLNESS LLC
Practice address
1921 Hughes Dr
Fort Wayne, IN 46816-3102
Phone
(904) 527-9601
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Dr. Shannon Lee Nierman, D.C.
Title
Owner/Manager
Phone
(904) 527-9601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 08002640A IN Primary

Addresses

Primary practice location

1921 Hughes Dr
Fort Wayne, IN 46816-3102

Mailing address

1921 Hughes Dr
Fort Wayne, IN 46816-3102
Phone (904) 527-9601

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1366750028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 HUGHES DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468163102",
            "telephone_number": "904-527-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 HUGHES DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468163102",
            "telephone_number": "904-527-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIERMAN CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "NIERMAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "904-527-9601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "08002640A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.