Individual provider Active NPI

Nathan Halverson, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1477919611
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012891 Issued in IL
Practice address
2654 N Lincoln Ave
Chicago, IL 60614-1307
Phone
(773) 529-9355
NPI assigned
Jan 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012891 IL Primary

Addresses

Primary practice location

2654 N Lincoln Ave
Chicago, IL 60614-1307

Mailing address

2654 N Lincoln Ave
Chicago, IL 60614-1307
Phone (773) 529-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217000708 IA Practitioner - Chiropractic 9234563784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vero Chiropractic PLLCGroup PAC ID 2466737903, 9 clinicians

Practice addresses (Care Compare)

630 S 50TH St
West Des Moines, IA 50265-6992
Phone (515) 422-9552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012891ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vero Chiropractic PLLC Chiropractor CurrentSince Mar 1, 2023 Accepting new patients
Stumbaugh Inc Chiropractor CurrentSince Nov 11, 2019 Accepting new patients
Vero LLC Chiropractor CurrentSince Mar 1, 2023 Accepting new patients

Locations

1300 Sunset Dr
Norwalk, IA 50211
Phone (515) 981-9208

630 S 50th St
West Des Moines, IA 50265
Phone (515) 422-9552

Organizations & group practices 3

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": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1477919611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141307",
            "telephone_number": "773-529-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141307",
            "telephone_number": "773-529-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVERSON",
        "first_name": "NATHAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.