Organization Active NPI

Pottawattamie County Sports and Family Chiropractic

  • Chiropractor
  • Oakland, IA
National Provider Identifier
1629588587
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
082353 Issued in IA
Legal business name
POTTAWATTAMIE COUNTY SPORTS AND FAMILY CHIROPRACTIC
Practice address
101 N Main St Ste 3
Oakland, IA 51560-4356
Phone
(712) 249-8231
NPI assigned
Oct 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Authorized official

Name
Nathaniel Scott Wiechmann, DCNPI 1699144246
Title
Doctor
Phone
(712) 249-8231

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 082353 IA Primary

Addresses

Primary practice location

101 N Main St Ste 3
Oakland, IA 51560-4356

Mailing address

101 N Main St Ste 3
Oakland, IA 51560-4356
Phone (712) 249-8231

Other names 1

  • Pott. County Sports and Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180403001377 IA Part B Supplier - Clinic/Group Practice 6204197791 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland, IA

National Provider Directory

National Provider Directory

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": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1629588587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST STE 3",
            "city": "OAKLAND",
            "state": "IA",
            "postal_code": "515604356",
            "telephone_number": "712-249-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST STE 3",
            "city": "OAKLAND",
            "state": "IA",
            "postal_code": "515604356",
            "telephone_number": "712-249-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTAWATTAMIE COUNTY SPORTS AND FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "WIECHMANN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "712-249-8231",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "082353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pott. County Sports and Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.