Active NPI
Nathan Zachary Servey, D.C.
- Chiropractor
- Victoria, MN
National Provider Identifier
1932647294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6295
- Practice address
- 1700 Stieger Lake Lane
Suite 103
Victoria, MN 55386 - Phone
- (952) 443-9000
- NPI assigned
- Feb 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6295 | MN | Primary |
Addresses
Primary practice location
1700 Stieger Lake Lane
Suite 103
Victoria, MN 55386
Mailing address
PO Box 156
Victoria, MN 55386-0156
Phone (715) 563-7456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6295 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Power of Life Chiropractic, P.a. | Chiropractor | Current | Accepting new patients |
Locations
1700 Stieger Lake Ln
Victoria, MN 55386
Phone (952) 443-9000
1700 Stieger Lake Ln
Ste 103
Victoria, MN 55386
Phone (952) 443-9000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Victoria, MN
- NPI 1316120272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1932647294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 156",
"city": "VICTORIA",
"state": "MN",
"postal_code": "553860156",
"telephone_number": "715-563-7456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 STIEGER LAKE LANE",
"address_2": "SUITE 103",
"city": "VICTORIA",
"state": "MN",
"postal_code": "55386",
"telephone_number": "952-443-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERVEY",
"first_name": "NATHAN",
"middle_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-07",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.