Russell R Vanhemert, D.C., C.C.S.P.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

04934 Issued in IA

Practice address

1310 Washington St
Pella, IA 50219-1512

Phone

(641) 628-2099

Fax

(641) 628-2324

NPI assigned

May 23, 2005

Reactivated

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 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.

• Van Hemert Chiropractic Center, P.C.

  • Sports Physician Chiropractor
  • Pella, IA
  • NPI 1710013719
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1497758676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502190026",
            "telephone_number": "641-628-2099",
            "fax_number": "641-628-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WASHINGTON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191512",
            "telephone_number": "641-628-2099",
            "fax_number": "641-628-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHEMERT",
        "first_name": "RUSSELL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-10-23",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "04934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CORPORATION NUMBER",
            "identifier": "1710013719",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231951",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Bernard Vander Linden, RPH.
• Troy Vander Molen, PT
• Kurt Ronald Vander Ploeg, M.D.
• David J Vanderhoff
• Wayne Vanderleest, O.D.
• Donna L. Vanvark, RPH
• Myndi Marie Vanvoorst, OCCUPT. THERAPIST
• Elizabeth Audrey Vermeer
• Micah Jess Vermeer, D.D.S.
• Jana Beth Vink, LMSW

• Sports Physician Chiropractor in Pella, IA
• Providers in Pella, IA by specialty
• Sports Physician Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.