Individual provider Active NPI

Nathan Zachary Servey, D.C.

  • Chiropractor
  • Victoria, MN
National Provider Identifier
1932647294
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6295 Issued in MN
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

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230613001615 MN Practitioner - Chiropractic 2668839218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6295MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Power of Life Chiropractic, P.a. Chiropractor CurrentSince Feb 2, 2023 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.

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.

Verify at the official NPI Registry.