Active NPI
Nevada Family Chiropractic Inc
- Chiropractor
- Nevada, IA
National Provider Identifier
1508058223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006985
- Legal business name
- NEVADA FAMILY CHIROPRACTIC INC
- Practice address
- 805 Lincoln Hwy Ste a
Nevada, IA 50201-1719 - Phone
- (515) 382-3255
- Fax
- (515) 382-3256
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Eric Grimm, D.C.
- Title
- President
- Phone
- (515) 382-3255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006985 | IA | Primary |
Addresses
Primary practice location
805 Lincoln Hwy Ste a
Nevada, IA 50201-1719
Mailing address
805 Lincoln Hwy Ste a
Nevada, IA 50201-1719
Phone (515) 382-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070906000863 | IA | Part B Supplier - Clinic/Group Practice | 3971696956 |
Receives reassigned benefits from 1 practitioner Practice locations: Nevada, IA |
National Provider Directory
National Provider DirectoryLocations
805 Lincoln Hwy
Ste A
Nevada, IA 50201
Phone (515) 382-3255
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645660800000",
"number": "1508058223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 LINCOLN HWY STE A",
"city": "NEVADA",
"state": "IA",
"postal_code": "502011719",
"telephone_number": "515-382-3255",
"fax_number": "515-382-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 LINCOLN HWY STE A",
"city": "NEVADA",
"state": "IA",
"postal_code": "502011719",
"telephone_number": "515-382-3255",
"fax_number": "515-382-3256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEVADA FAMILY CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A",
"authorized_official_last_name": "GRIMM",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "515-382-3255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "006985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.