Organization Active NPI

Dierenfield Chiropractic L.L.C.

  • Chiropractor
  • South Sioux City, NE
National Provider Identifier
1487809869
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
947 Issued in NE
Legal business name
DIERENFIELD CHIROPRACTIC L.L.C.
Practice address
121 E 28TH St
South Sioux City, NE 68776-3206
Phone
(402) 987-2563
Fax
(402) 987-2563
NPI assigned
Nov 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Dr. Nancy Lou Dierenfield, DR. OF CHIROPRACTIC
Title
Owner of L.L.C.
Phone
(402) 987-2557

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 947 NE Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4906 CO
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X A05431 IA

Addresses

Primary practice location

121 E 28TH St
South Sioux City, NE 68776-3206

Mailing address

P.O. Box 216
Dakota City, NE 68731
Phone (402) 987-2557

Other identifiers 3

IdentifierTypeStateIssuer
0908285MedicaidIA
47075629900MedicaidNE
9755MEOtherNEBCBS

Other names 1

  • Dierenfield Chiropractic as sole proprietor in Omaha 92-98 Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1487809869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 216",
            "city": "DAKOTA CITY",
            "state": "NE",
            "postal_code": "68731",
            "telephone_number": "402-987-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 28TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763206",
            "telephone_number": "402-987-2563",
            "fax_number": "402-987-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIERENFIELD CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "DIERENFIELD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OWNER OF L.L.C.",
        "authorized_official_telephone_number": "402-987-2557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR. OF CHIROPRACTIC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "947",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4906",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908285",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075629900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9755ME",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dierenfield Chiropractic as sole proprietor in Omaha 92-98",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dierenfield Chiropractic as sole proprietor in Omaha 92-98",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.