Active NPI
Nathan Jerome Sermersheim, D.C.
- Rehabilitation Chiropractor
- Zionsville, IN
National Provider Identifier
1508100116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 08002659A
- Practice address
- 1285 Parkway Dr
Zionsville, IN 46077-1953 - Phone
- (317) 491-1073
- Fax
- (317) 733-3341
- NPI assigned
- Nov 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 08002659A | IN | Primary |
Addresses
Primary practice location
1285 Parkway Dr
Zionsville, IN 46077-1953
Mailing address
1285 Parkway Dr
Zionsville, IN 46077-1953
Phone (317) 491-1073
Other practice location 1
2414 E State Blvd
Fort Wayne, IN 46805-4760
Phone (812) 661-2751
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002659A | IN | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zionsville Family Chiropractic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Zionsville, IN
- NPI 1821316639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1508100116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 PARKWAY DR",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460771953",
"telephone_number": "317-491-1073",
"fax_number": "317-733-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 PARKWAY DR",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460771953",
"telephone_number": "317-491-1073",
"fax_number": "317-733-3341"
}
],
"practiceLocations": [
{
"address_1": "2414 E State Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468054760",
"country_code": "US",
"telephone_number": "812-661-2751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERMERSHEIM",
"first_name": "NATHAN",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IN",
"license": "08002659A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zionsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.