Casey J Iverson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

786 Issued in NE

Practice address

1804 West Forrest Street
Grand Island, NE 68802-2110

Phone

(308) 382-3666

Fax

(308) 382-3644

NPI assigned

Sep 28, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1982

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.

• Iverson Chiropractic Clinic, P.C.

  • Chiropractor
  • Grand Island, NE
  • NPI 1639869902
  NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1457443699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2371",
            "address_2": "1804 WEST FORREST STREET",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688022371",
            "telephone_number": "308-382-3666",
            "fax_number": "308-382-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 WEST FORREST STREET",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688022110",
            "telephone_number": "308-382-3666",
            "fax_number": "308-382-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "CASEY",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09538",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068753000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-068753000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "22491",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Irick, MD
• Jessica Isaac
• Island View Dental P.C.
• Toni Ismael
• Iverson Chiropractic Clinic, P.C.
• Adriana Izquierdo
• Michelle D Jack, LCSW
• Jacobs Dental Group LLC
• Timothy Lee Jacobs, DDS
• Eva Lee Jaixen

• Chiropractor in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.