Active NPI
Kenneth Eugene Nuss, D.C.
- Chiropractor
- Waverly, IA
National Provider Identifier
1497774558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06871
- Practice address
- 216 E Bremer Ave
Waverly, IA 50677-3434 - Phone
- (319) 352-3103
- Fax
- (319) 352-3104
- NPI assigned
- Jul 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06871 | IA | Primary |
Addresses
Primary practice location
216 E Bremer Ave
Waverly, IA 50677-3434
Mailing address
216 E Bremer Ave
Waverly, IA 50677-3434
Phone (319) 352-3103
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0483149 | Medicaid | IA | |
| 09356 | Other | IA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497774558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 E BREMER AVE",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506773434",
"telephone_number": "319-352-3103",
"fax_number": "319-352-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 E BREMER AVE",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506773434",
"telephone_number": "319-352-3103",
"fax_number": "319-352-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSS",
"first_name": "KENNETH",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0483149",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "09356",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waverly, IA
- North Iowa Counseling, LLC
- Northland Hearing Center, Inc. (New Sound Hearing Center)
- Northland Hearing Centers, Inc. (Hearing Unlimited)
- Jacob Lee Norton, DPT
- Nuss Family Chiropractic, PC
- Travis Nathan Nuss, D.C.
- Nicole Marie O'Gara, OT
- Mary Ester Ochoa, SLP
- Mary Elizabeth Moon Oelmann, PHARMD
- Lori Lynn Ogden
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.