Organization Active NPI

Dr Lee Nagel PC

Doing business as Dekalb Chiropractic Center Inc

  • Chiropractor
  • Waterloo, IN
National Provider Identifier
1639283880
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002021A Issued in IN
Legal business name
DR LEE NAGEL PC
Doing business as
Dekalb Chiropractic Center Inc
Practice address
3386 Co. Rd. 427
Waterloo, IN 46793
Phone
(260) 837-6331
Fax
(260) 837-7938
NPI assigned
Aug 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lee J Nagel, DCNPI 1124030101
Title
President/Owner
Phone
(260) 837-6331

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
Chiropractor 111N00000X 08002021A IN Primary

Addresses

Primary practice location

3386 Co. Rd. 427
Waterloo, IN 46793

Mailing address

PO Box 477
Waterloo, IN 46793-0477
Phone (260) 837-6331

Other names 1

  • DEKALB CHIROPRACTIC CENTER INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100106000464 IN Part B Supplier - Clinic/Group Practice 0840331369 Receives reassigned benefits from 2 practitioners
Practice locations: Waterloo, IN

National Provider Directory

National Provider Directory

Locations

3386 County Road 427
Waterloo, IN 46793
Phone (219) 837-6331

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639283880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "WATERLOO",
            "state": "IN",
            "postal_code": "467930477",
            "telephone_number": "260-837-6331",
            "fax_number": "260-837-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 CO. RD. 427",
            "city": "WATERLOO",
            "state": "IN",
            "postal_code": "46793",
            "telephone_number": "260-837-6331",
            "fax_number": "260-837-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LEE NAGEL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "260-837-6331",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002021A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEKALB CHIROPRACTIC CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.