Nelson Chiropractic Systems, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06715 Issued in IA

Legal business name

NELSON CHIROPRACTIC SYSTEMS, P.C.

Practice address

2377 Cumberland Square Dr
Bettendorf, IA 52722-3251

Phone

(563) 359-9541

Fax

(563) 344-3914

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Traci N Nelson, DC

Title

Chiropractor/Owner

Phone

(563) 359-9541

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Nelson Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 9

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

• Tyler Johnson, D.C.

  • Chiropractor
  • Davenport, IA
  • NPI 1821164203
  Medicare reassignment Care Compare group NPD
• Traci N Nelson Johnson, DC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1205891868
  Medicare reassignment Care Compare group NPD
• Lindsay Jo Gall, DC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1174788442
  Medicare reassignment NPD
• Holli Christine Martin, DC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1437680295
  Medicare reassignment NPD
• Kylie Cushman, DC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1336932284
  NPD
• Kyle David Boland, D.C.

  • Chiropractor
  • West Salem, WI
  • NPI 1427338334
  NPD
• Amy J Goulet, DC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1003870924
  NPD (past)
• Amy Louise Mathis, D.C.

  • Chiropractor
  • Davenport, IA
  • NPI 1902044878
  NPD (past)
• Justin Robert Seifert, D.C.

  • Chiropractor
  • Walcott, IA
  • NPI 1720301880
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1477566404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 CUMBERLAND SQUARE DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223251",
            "telephone_number": "563-359-9541",
            "fax_number": "563-344-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 CUMBERLAND SQUARE DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223251",
            "telephone_number": "563-359-9541",
            "fax_number": "563-344-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON CHIROPRACTIC SYSTEMS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "563-359-9541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201796 DR. FRIEMEL",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202619 DR. GALL",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - DR. GALL",
            "identifier": "1174788442",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK - DR. TRACI NELS",
            "identifier": "48886",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1186874",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - DR. TRACI NELSON",
            "identifier": "1205891868",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK - DR. GALL",
            "identifier": "1174788442",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - DR. FRIEMEL",
            "identifier": "1871777474",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK DR. FRIEMEL",
            "identifier": "72004",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Narinder Kumar Dba Bettendorf Pediatric & Family Practice Assoc.
• Near & Far Counseling
• Near and Far Counseling PLLC
• James Nebinger, DC
• Anji A Neil, MD
• Traci N Nelson Johnson, DC
• Lisa Ingrid Nelson-Nguyen, PAC
• Bethany Alicia Nelson, MS, CCC-SLP
• Jacob Thomas Nelson, PA-C
• Mercedez Nelson

• Chiropractor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.

Verify at the official NPI Registry.