Organization Active NPI

Sport & Spine PLLC

  • Chiropractor
  • Hiawatha, IA
National Provider Identifier
1639565716
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007394 Issued in IA
Legal business name
SPORT & SPINE PLLC
Practice address
102 A Ave
Hiawatha, IA 52233-1504
Phone
(319) 892-3363
Fax
(319) 892-3034
NPI assigned
Apr 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Dr. Nathan Robert Weber, DC MS
Title
Doctor/Owner
Phone
(319) 491-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007394 IA Primary

Addresses

Primary practice location

102 A Ave
Hiawatha, IA 52233-1504

Mailing address

3109 Leonard Ter NE
Cedar Rapids, IA 52402-4148
Phone (319) 491-4242

National Provider Directory

National Provider Directory

Locations

99 N Center Point Rd
Hiawatha, IA 52233
Phone (319) 892-3363

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1639565716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 LEONARD TER NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024148",
            "telephone_number": "319-491-4242",
            "fax_number": "319-892-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 A AVE",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331504",
            "telephone_number": "319-892-3363",
            "fax_number": "319-892-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "319-491-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC MS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.