Organization Active NPI

Nygren Chiropractic & Acupuncture LLC

  • Nutrition Chiropractor
  • Van Wert, OH
National Provider Identifier
1598586117
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
NYGREN CHIROPRACTIC & ACUPUNCTURE LLC
Practice address
118 1/2 N Walnut St
Van Wert, OH 45891-1719
Phone
(419) 238-4387
Fax
(419) 238-4387
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Nichole Nygren, DCNPI 1669526307
Title
Ceo
Phone
(419) 238-4387

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)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X Primary

Addresses

Primary practice location

118 1/2 N Walnut St
Van Wert, OH 45891-1719

Mailing address

118 1/2 N Walnut St
Van Wert, OH 45891-1719
Phone (419) 203-8461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241212000598 OH Part B Supplier - Clinic/Group Practice 0547796690 Receives reassigned benefits from 1 practitioner
Practice locations: Van Wert, OH

National Provider Directory

National Provider Directory

Locations

118 N Walnut St
Van Wert, OH 45891
Phone (419) 238-4387

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": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1598586117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 1/2 N WALNUT ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911719",
            "telephone_number": "419-203-8461",
            "fax_number": "419-238-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 1/2 N WALNUT ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911719",
            "telephone_number": "419-238-4387",
            "fax_number": "419-238-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYGREN CHIROPRACTIC & ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "NYGREN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-238-4387",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.

Verify at the official NPI Registry.