Organization Active NPI

Discover Chiropractic LLC

  • Chiropractor
  • Urbandale, IA
National Provider Identifier
1750762241
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006983 Issued in IA
Legal business name
DISCOVER CHIROPRACTIC LLC
Practice address
4656 86TH St
Urbandale, IA 50322-1026
Phone
(515) 251-7977
Fax
(866) 251-2177
NPI assigned
Jun 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Dr. Nicolas NanningaNPI 1255539268
Title
Owner
Phone
(515) 251-7977

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006983 IA Primary

Addresses

Primary practice location

4656 86TH St
Urbandale, IA 50322-1026

Mailing address

4656 86TH St
Urbandale, IA 50322-1026
Phone (515) 251-7977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150706000047 IA Part B Supplier - Clinic/Group Practice 4880906858 Receives reassigned benefits from 1 practitioner
Practice locations: Johnston, IA

National Provider Directory

National Provider Directory

Locations

8851 Northpark CT Ste 200
Johnston, IA 50131

8851 Northpark Dr
Ste 200
Johnston, IA 50131
Phone (515) 251-7977

4656 86th St
Urbandale, IA 50322
Phone (515) 251-7977

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1750762241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221026",
            "telephone_number": "515-251-7977",
            "fax_number": "866-251-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4656 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221026",
            "telephone_number": "515-251-7977",
            "fax_number": "866-251-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "NANNINGA",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-251-7977",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "006983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.