Organization Active NPI

Segebart Chiropractic PLLC

  • Chiropractor
  • Denison, IA
National Provider Identifier
1679840540
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007440 Issued in IA
Legal business name
SEGEBART CHIROPRACTIC PLLC
Practice address
141 N 7TH St
Denison, IA 51442-2457
Phone
(712) 263-6546
NPI assigned
Nov 21, 2011
Last updated
Jan 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Mr. Jacob Ryan Segebart, D.C.NPI 1205124013
Title
Chiropractor
Phone
(712) 790-1497

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 007440 IA Primary

Addresses

Primary practice location

141 N 7TH St
Denison, IA 51442-2457

Mailing address

141 N 7TH St
Denison, IA 51442-2457
Phone (712) 263-6546

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000599 IA Part B Supplier - Clinic/Group Practice 2567620677 Receives reassigned benefits from 1 practitioner
Practice locations: Denison, IA

National Provider Directory

National Provider Directory

Locations

141 N 7th St
Denison, IA 51442
Phone (712) 263-6546

1607 4th Ave S
Denison, IA 51442
Phone (712) 263-6546

Practitioners & affiliated clinicians

Practitioners 2

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": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1679840540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N 7TH ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422457",
            "telephone_number": "712-263-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N 7TH ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422457",
            "telephone_number": "712-263-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGEBART CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "SEGEBART",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "712-790-1497",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.