Active NPI
Crystal Dawn Buesing, D.C.
- Chiropractor
- Le Claire, IA
National Provider Identifier
1508202532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007660
- Practice address
- 419 N Cody Rd
Le Claire, IA 52753-9537 - Phone
- (563) 271-0226
- Fax
- (888) 603-4297
- NPI assigned
- May 16, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007660 | IA | Primary |
Addresses
Primary practice location
419 N Cody Rd
Le Claire, IA 52753-9537
Mailing address
PO Box 91
Le Claire, IA 52753-0091
Phone (563) 271-0226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IB2819 | Other | IA | MEDICARE PTAN |
Other names 1
- Crystal Dawn Satterstrom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130814001050 | IA | Practitioner - Chiropractic | 4486896891 | Practice locations: Le Claire, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
218 Davenport St
PO Box 91
Le Claire, IA 52753-0091
419 N Cody Rd
Dr. Crystal'S Chiropractic Care
Le Claire, IA 52753-9537
Phone (563) 271-0226
PO Box
Suite 91
Le Claire, IA 52753-0091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007660 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1508202532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91",
"city": "LE CLAIRE",
"state": "IA",
"postal_code": "527530091",
"telephone_number": "563-271-0226",
"fax_number": "888-603-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 N CODY RD",
"city": "LE CLAIRE",
"state": "IA",
"postal_code": "527539537",
"telephone_number": "563-271-0226",
"fax_number": "888-603-4297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUESING",
"first_name": "CRYSTAL",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IB2819",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "SATTERSTROM",
"middle_name": "DAWN",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Le Claire, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.