Organization Active NPI

Iverson Chiropractic Clinic, P.C.

  • Chiropractor
  • Grand Island, NE
National Provider Identifier
1639869902
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IVERSON CHIROPRACTIC CLINIC, P.C.
Practice address
1804 W. Forrest Street
Grand Island, NE 68803
Phone
(308) 382-3666
Fax
(308) 382-3644
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Dr. Casey J Iverson, DCNPI 1457443699
Title
Owner/Provider
Phone
(308) 382-3666

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 Primary

Addresses

Primary practice location

1804 W. Forrest Street
Grand Island, NE 68803

Mailing address

1804 W. Forrest St
Grand Island, NE 68803
Phone (308) 382-3666

Other practice location 1

147 S 8th Street
Burwell, NE 68823-6003
Phone (308) 346-5499

National Provider Directory

National Provider Directory

Locations

1804 Forrest St
Grand Island, NE 68803
Phone (308) 382-0363

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": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1639869902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 W. FORREST ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "68803",
            "telephone_number": "308-382-3666",
            "fax_number": "308-382-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 W. FORREST STREET",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "68803",
            "telephone_number": "308-382-3666",
            "fax_number": "308-382-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 S 8th Street",
            "address_purpose": "LOCATION",
            "city": "Burwell",
            "state": "NE",
            "postal_code": "688236003",
            "country_code": "US",
            "telephone_number": "308-346-5499",
            "fax_number": "308-382-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IVERSON CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "308-382-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.