Individual provider Active NPI

David K. Rebarcak, DC

  • Chiropractor
  • Nevada, IA
National Provider Identifier
1942280417
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05185 Issued in IA
Practice address
1129 6TH St
Nevada, IA 50201-1827
Phone
(515) 382-2225
Fax
(515) 382-5430
NPI assigned
Jan 19, 2006
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05185 IA Primary

Addresses

Primary practice location

1129 6TH St
Nevada, IA 50201-1827

Mailing address

1129 6TH St
Nevada, IA 50201-1827
Phone (515) 382-2225

Other identifiers 1

IdentifierTypeStateIssuer
0258004MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meyer Chiropractic PC Chiropractor PastSince Feb 24, 2016 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1942280417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 6TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502011827",
            "telephone_number": "515-382-2225",
            "fax_number": "515-382-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 6TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502011827",
            "telephone_number": "515-382-2225",
            "fax_number": "515-382-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBARCAK",
        "first_name": "DAVID",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0258004",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.