Organization Active NPI

Nuss Family Chiropractic, PC

  • Chiropractor
  • Waverly, IA
National Provider Identifier
1679552079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06818 Issued in IA
Legal business name
NUSS FAMILY CHIROPRACTIC, PC
Practice address
216 E Bremer Ave
Waverly, IA 50677-3434
Phone
(319) 352-3103
Fax
(319) 352-3104
NPI assigned
Jan 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Travis Nathan Nuss, D.C.NPI 1891774485
Title
Owner
Phone
(319) 352-3103

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
Chiropractor 111N00000X 06818 IA Primary

Addresses

Primary practice location

216 E Bremer Ave
Waverly, IA 50677-3434

Mailing address

216 E Bremer Ave
Waverly, IA 50677-3434
Phone (319) 352-3103

Other identifiers 1

IdentifierTypeStateIssuer
0471250MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000596 IA Part B Supplier - Clinic/Group Practice 7416982020 Receives reassigned benefits from 1 practitioner
Practice locations: Waverly, IA

National Provider Directory

National Provider Directory

Locations

216 E Bremer Ave
Waverly, IA 50677
Phone (319) 352-3103

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679552079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E BREMER AVE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773434",
            "telephone_number": "319-352-3103",
            "fax_number": "319-352-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E BREMER AVE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773434",
            "telephone_number": "319-352-3103",
            "fax_number": "319-352-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSS FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NUSS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-352-3103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471250",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.