Individual provider Active NPI

Crystal Dawn Buesing, D.C.

  • Chiropractor
  • Le Claire, IA
National Provider Identifier
1508202532
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007660 Issued in IA
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

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IB2819OtherIAMEDICARE PTAN

Other names 1

  • Crystal Dawn Satterstrom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
007660IAMDChiropractor

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.

Verify at the official NPI Registry.