NPIMap

Organization Active NPI

Nez Enterprises LLC

Doing business as HealthSource of West De Pere

  • Chiropractor
  • De Pere, WI
National Provider Identifier
1538686837
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5032-12 Issued in WI
Legal business name
NEZ ENTERPRISES LLC
Doing business as
HealthSource of West De Pere
Practice address
1700 Sand Acres Dr Ste 2a
De Pere, WI 54115-7562
Phone
(920) 309-6658
Fax
(920) 632-2511
NPI assigned
Aug 28, 2017
Last updated
Jan 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Dr. Nathan Steven Cummings, DC
Title
Chiropractor
Phone
(920) 309-6658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5032-12 WI Primary

Addresses

Primary practice location

1700 Sand Acres Dr Ste 2a
De Pere, WI 54115-7562

Mailing address

1700 Sand Acres Dr Ste 2a
De Pere, WI 54115-7562
Phone (920) 309-6658

Other names 1

  • HealthSource of West De Pere Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1538686837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SAND ACRES DR STE 2A",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157562",
            "telephone_number": "920-309-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SAND ACRES DR STE 2A",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157562",
            "telephone_number": "920-309-6658",
            "fax_number": "920-632-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEZ ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-309-6658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5032-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of West De Pere",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.