St. Ansgar Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007554 Issued in IA

Legal business name

ST. ANSGAR CHIROPRACTIC PLLC

Practice address

706 E 4TH St
Saint Ansgar, IA 50472-9571

Phone

(641) 713-3146

Fax

(641) 713-3149

NPI assigned

Jul 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lucas Laverne Nelson, DCNPI 1811242076

Title

Owner

Phone

(641) 590-3077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucas Laverne Nelson, D.C.

  • Chiropractor
  • Saint Ansgar, IA
  • NPI 1811242076
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1669727285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "address_2": "706 E 4TH STREET",
            "city": "SAINT ANSGAR",
            "state": "IA",
            "postal_code": "504720128",
            "telephone_number": "641-713-3146",
            "fax_number": "641-713-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E 4TH ST",
            "city": "SAINT ANSGAR",
            "state": "IA",
            "postal_code": "504729571",
            "telephone_number": "641-713-3146",
            "fax_number": "641-713-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANSGAR CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-590-3077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer D Neumann, DNP
• Shirley A Penney, PA
• Kelly D Ross, MD
• Grady Schulz
• Rachel E Squier, PT
• St. Ansgar Community School District
• Ashley Marie Steinberg, PHARM. D.
• Ken Paul Sweetland Jr.
• The Evangelical Lutheran Good Samaritan Society
• Holly Lynn Voigt, PA-C

• Chiropractor in Saint Ansgar, IA
• Providers in Saint Ansgar, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.