Van Hemert Chiropractic Center, P.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

04934 Issued in IA

Legal business name

VAN HEMERT CHIROPRACTIC CENTER, P.C.

Practice address

1310 Washington St
Pella, IA 50219-1512

Phone

(641) 628-2099

Fax

(641) 628-2324

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Russell R Van Hemert, D.C.NPI 1497758676

Title

Owner

Phone

(641) 628-2099

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Russell R Van Hemert Other name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

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

• Russell R Vanhemert, D.C., C.C.S.P.

  • Sports Physician Chiropractor
  • Pella, IA
  • NPI 1497758676
  Medicare reassignment NPD Authorized official
• Jill Marian Konfrst, ARNP

  • Nurse Practitioner
  • Pella, IA
  • NPI 1801893250
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1710013719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 WASHINGTON ST",
            "address_2": "PO BOX 26",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191512",
            "telephone_number": "641-628-2099",
            "fax_number": "641-628-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WASHINGTON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191512",
            "telephone_number": "641-628-2099",
            "fax_number": "641-628-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN HEMERT CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "VAN HEMERT",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-628-2099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "04934",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A076744",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "23195",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231951",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1497758676",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell R Van Hemert",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Quintin E. Treadway, PA-C
• Brittany Tromp
• Alison Rae Troutman
• Clark Ullerich, MPT
• Nicholas Van Beek
• Jora Van Maanen, LISW
• Jody L Van Veen, ARNP
• Kayla Van Wyk
• Kenneth Wayne Van Wyk, D.C.
• Tereasa L. Van Zee, DO

• Sports Physician Chiropractor in Pella, IA
• Providers in Pella, IA by specialty
• Sports Physician Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.