Individual provider Active NPI

Nicholas J Backhaus, DC

  • Chiropractor
  • Arcaida, IA
National Provider Identifier
1962930693
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
087467 Issued in IA
Practice address
320 S Division St
Arcaida, IA 51430
Phone
(712) 689-2049
Fax
(712) 689-0094
NPI assigned
May 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 087467 IA Primary

Addresses

Primary practice location

320 S Division St
Arcaida, IA 51430

Mailing address

2355 380TH St
Westside, IA 51467-7558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907003053 IA Practitioner - Chiropractic 1951674217 Practice locations: Arcadia, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 S Division St
Arcadia, IA 51430-1021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas John Backhaus Chiropractor CurrentSince Jun 21, 2017 Accepting new patients

Locations

320 S Division St
Arcadia, IA 51430
Phone (712) 689-2049

2323 Mount Vernon Rd SE
Cedar Rapids, IA 52403
Phone (319) 289-8300

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1962930693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 380TH ST",
            "city": "WESTSIDE",
            "state": "IA",
            "postal_code": "514677558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S DIVISION ST",
            "city": "ARCAIDA",
            "state": "IA",
            "postal_code": "51430",
            "telephone_number": "712-689-2049",
            "fax_number": "712-689-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKHAUS",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "087467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.