Individual provider Active NPI

Colby T Nelson, D.C.

  • Chiropractor
  • Marion, IA
National Provider Identifier
1649440249
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007074 Issued in IA
Practice address
127 Marion Blvd Ste B
Marion, IA 52302-3144
Phone
(319) 447-1317
NPI assigned
Mar 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007074 IA Primary

Addresses

Primary practice location

127 Marion Blvd Ste B
Marion, IA 52302-3144

Mailing address

960 W Cherry St Unit 3
North Liberty, IA 52317-9813
Phone (515) 231-7499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000155 IA Practitioner - Chiropractic 8628147485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vero Chiropractic PLLCGroup PAC ID 2466737903, 9 clinicians

Practice addresses (Care Compare)

630 S 50TH St
West Des Moines, IA 50265-6992
Phone (515) 422-9552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vero Chiropractic PLLC Chiropractor CurrentSince Nov 15, 2022 Accepting new patients
Vero LLC Chiropractor CurrentSince Nov 15, 2022 Accepting new patients
My Chiro, L.L.C. Chiropractor PastSince Apr 19, 2012 Accepting new patients

Locations

630 S 50th St
West Des Moines, IA 50265
Phone (515) 422-9552

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1649440249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W CHERRY ST UNIT 3",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179813",
            "telephone_number": "515-231-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MARION BLVD STE B",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023144",
            "telephone_number": "319-447-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "COLBY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.