Active NPI
Nancy Lou Dierenfield, D.C.
- Chiropractor
- Sioux City, IA
National Provider Identifier
1649486325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05431
- Practice address
- 4501 Southern Hills Dr
Southern Square Mall Fluent Chiropractic Clinic
Sioux City, IA 51106 - Phone
- (712) 274-7246
- Fax
- (712) 274-0037
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 947 | NE | |
| Chiropractor | 111N00000X | 4906 | CO | |
| Chiropractor | 111N00000X | A05431 | IA | Primary |
Addresses
Primary practice location
4501 Southern Hills Dr
Southern Square Mall Fluent Chiropractic Clinic
Sioux City, IA 51106
Mailing address
2249 South Bluff Road
Homer, NE 68030
Phone (402) 698-2508
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47075629900 | Medicaid | NE | |
| 9755 | Other | ME | BCBS |
| 0908285 | Medicaid | IA |
Other names 1
- Nancy Loo Beerman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4906 | CO | MD | Chiropractor |
| A05431 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1649486325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2249 SOUTH BLUFF ROAD",
"city": "HOMER",
"state": "NE",
"postal_code": "68030",
"telephone_number": "402-698-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 SOUTHERN HILLS DR",
"address_2": "SOUTHERN SQUARE MALL FLUENT CHIROPRACTIC CLINIC",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "51106",
"telephone_number": "712-274-7246",
"fax_number": "712-274-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIERENFIELD",
"first_name": "NANCY",
"middle_name": "LOU",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "947",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4906",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A05431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47075629900",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9755",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0908285",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "BEERMAN",
"middle_name": "LOO",
"credential": "DC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.