Organization Active NPI

Michelle Nelson Chiropractic Inc

  • Chiropractor
  • Hiawatha, IA
National Provider Identifier
1962510230
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06393 Issued in IA
Legal business name
MICHELLE NELSON CHIROPRACTIC INC
Practice address
698 Boyson Rd Ste B
Hiawatha, IA 52233-1216
Phone
(319) 393-4727
Fax
(319) 393-1035
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Dr. Michelle Marie Nelson, DCNPI 1952380396
Title
Owner President
Phone
(319) 393-4727

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06393 IA Primary

Addresses

Primary practice location

698 Boyson Rd Ste B
Hiawatha, IA 52233-1216

Mailing address

698 Boyson Rd
Suite B
Hiawatha, IA 52233-1216
Phone (319) 393-4727

Other identifiers 1

IdentifierTypeStateIssuer
0483073MedicaidIA

Other names 1

  • Nelson Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070201000010 IA Part B Supplier - Clinic/Group Practice 6002818234 Receives reassigned benefits from 1 practitioner
Practice locations: Hiawatha, IA

National Provider Directory

National Provider Directory

Locations

1255 Boyson Loop
Hiawatha, IA 52233
Phone (319) 393-4727

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1962510230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 BOYSON RD",
            "address_2": "SUITE B",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331216",
            "telephone_number": "319-393-4727",
            "fax_number": "319-393-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 BOYSON RD STE B",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331216",
            "telephone_number": "319-393-4727",
            "fax_number": "319-393-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE NELSON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "319-393-4727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0483073",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.