NPIMap

Organization Active NPI

Nilles Chiropractic PC

  • Chiropractor
  • Le Mars, IA
National Provider Identifier
1801991336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05986 Issued in IA
Legal business name
NILLES CHIROPRACTIC PC
Practice address
220 Plymouth St SW
Le Mars, IA 51031-3441
Phone
(712) 546-4004
Fax
(712) 546-4007
NPI assigned
Sep 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. Robert Gerald Nilles, DCNPI 1235103565
Title
President
Phone
(712) 546-4004

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 A05986 IA Primary

Addresses

Primary practice location

220 Plymouth St SW
Le Mars, IA 51031-3441

Mailing address

220 Plymouth St SW
Le Mars, IA 51031-3441
Phone (712) 546-4004

Other identifiers 1

IdentifierTypeStateIssuer
0433912MedicaidIA

National Provider Directory

National Provider Directory

Locations

220 Plymouth St SW
Le Mars, IA 51031
Phone (712) 546-4004

Practitioners & affiliated clinicians

Practitioners 4

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801991336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PLYMOUTH ST SW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313441",
            "telephone_number": "712-546-4004",
            "fax_number": "712-546-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PLYMOUTH ST SW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313441",
            "telephone_number": "712-546-4004",
            "fax_number": "712-546-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILLES CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NILLES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-546-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433912",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Mars, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.