Individual provider Active NPI

Cameron Hayward

  • Chiropractor
  • Waterloo, IA
National Provider Identifier
1952856387
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
083895 Issued in IA
Practice address
3731 Kimball Ave
Waterloo, IA 50702-5728
Phone
(319) 232-1143
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 083895 IA Primary

Addresses

Primary practice location

3731 Kimball Ave
Waterloo, IA 50702-5728

Mailing address

3731 Kimball Ave
Waterloo, IA 50702-5728
Phone (319) 232-1143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161122002141 IA Practitioner - Chiropractic 1557640117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Swan Lake Blvd
Independence, IA 50644-2743
Phone (319) 327-4416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waterloo Chiropractic Center PLLC Chiropractor CurrentSince Aug 1, 2020 Accepting new patients
319 Sport and Spine LLC Chiropractor CurrentSince Mar 16, 2023 Accepting new patients

Locations

2000 Swan Lake Blvd
Ste 2
Independence, IA 50644
Phone (319) 327-4416

3731 Kimball Ave
Waterloo, IA 50702
Phone (319) 231-4779

Organizations & group practices 2

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1952856387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025728",
            "telephone_number": "319-232-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025728",
            "telephone_number": "319-232-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "083895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.