DR. LYLE D NISSEN (NPI# 1346234846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346234846 |
| Entity Type | Individual |
| Full Name | DR. LYLE D NISSEN |
| Credential | D.C. |
| Practice Address |
310 1st Street Sergeant Bluff IA 51054-0006 |
| Mailing Address |
Po Box 6 Sergeant Bluff IA 51054-0006 |
| Practice Telephone | 7129431589 |
| Practice Fax Number | 7129431591 |
| Mailing Telephone | 7129431589 |
| Mailing Fax Number | 7129431591 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | A05757 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1107557 | 05 |
| Street Address |
310 1ST STREET |
| City | SERGEANT BLUFF |
| State | IA |
| Zip Code | 51054-0006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841666054 | Jp Senior Healthcare LLC | Skilled Nursing Facility | 400 Sergeant Square Drive, Sergeant Bluff, IA 51054 | 2015-08-12 |
| 1184014649 | Community Monitoirng Services, Inc | Community/Behavioral Health | 204 1st Street Ste A5, Sergeant Bluff, IA 51054 | 2015-02-04 |
| 1073700399 | Assisted Living Concepts Inc | Assisted Living Facility | 403 C Street, Sergeant Bluff, IA 51054 | 2007-10-01 |
| 1962601625 | Michelle Larae Van Den Top | Optometrist | 110 Gaul Dr, Ste B, Sergeant Bluff, IA 51054 | 2007-07-13 |
| 1871569459 | Richard K Bokemper Dds PC | Dentist | 703 First St, Sergeant Bluff, IA 51054 | 2006-02-24 |
| 1619494333 | Sergeant Bluff Dental, PC | Dentist | 703 1st St, Po Box 280, Sergeant Bluff, IA 51054 | 2017-08-23 |
| 1164465779 | Renee L. Husen | Dentist | 703 First St., Sergeant Bluff, IA 51054 | 2006-06-13 |
| 1033140272 | City of Sergeant Bluff | Ambulance | 204 Port Neal Road, Sergeant Bluff, IA 51054-0000 | 2006-07-05 |
| 1124201587 | Nissen Family Chiropractic PC | Chiropractor | 310 1st St, Sergeant Bluff, IA 51054-0006 | 2007-12-07 |
| 1316024219 | Sergeant Bluff-luton Community School | Local Education Agency (LEA) | 201 Port Neal Rd, Sergeant Bluff, IA 51054-0097 | 2006-11-01 |
| Find all providers in zip 51054 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720536907 | Colt Ludwig | Chiropractor | 140 Gaul Dr, Sergeant Bluff, IA 51054-8963 | 2016-09-15 |
| 1427392570 | Grant Michael Nobles | Chiropractor | 406 4th St, Suite A, Sergeant Bluff, IA 51054-8579 | 2012-11-15 |
| 1164618922 | Shine for Health | Chiropractor | 400 Wild Plum Way, Sergeant Bluff, IA 51054-3502 | 2007-09-14 |
| 1770533382 | Marita A Turner | Chiropractor | 401 1/2 E Street, Sergeant Bluff, IA 51054-0908 | 2006-05-12 |
| 1689110603 | Level Spine Chiropractic PC | Chiropractor | 140 Gaul Dr, Sergeant Bluff, IA 51054-8963 | 2017-01-13 |
| 1770834202 | Chiropractic Health Care PC | Chiropractor | 401 1/2 E Street, Sergeant Bluff, IA 51054-0908 | 2012-09-24 |
| 1124201587 | Nissen Family Chiropractic PC | Chiropractor | 310 1st St, Sergeant Bluff, IA 51054-0006 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174197 | Ryan Hartley | Chiropractor | 900 42nd St, Des Moines, IA 50312-2616 | 2020-11-02 |
| 1851991491 | Kaleb Olson | Chiropractor | 112 Ne Ewing St Ste A, Grimes, IA 50111-2181 | 2020-10-30 |
| 1386244283 | Innate Health Chiropractic Pllc | Chiropractor | 6 Hawkeye Dr Ste 105, North Liberty, IA 52317-8904 | 2020-10-29 |
| 1316552052 | Shannon Kathleen Christiansen | Chiropractor | 2108 Vine St, Davenport, IA 52804-2056 | 2020-09-10 |
| 1609487230 | Joseph Aaron Viers | Chiropractor | 250 W 1st St Ste D, Grimes, IA 50111-2138 | 2020-08-17 |
| 1821609918 | Kira Baca | Chiropractor | 3231 Schuetzen Ln Apt 3, Davenport, IA 52804-4344 | 2020-08-12 |
| 1073123527 | Aligned Chiropractic Pllc | Chiropractor | 928 Valley View Dr Ste 14, Council Bluffs, IA 51503-5288 | 2020-08-08 |
| 1659980191 | Katelyn Ann De Kruyff | Chiropractor | 204 8th St Se Ste A, Altoona, IA 50009-1951 | 2020-07-30 |
| 1477189538 | Acme Chiropractic PC | Chiropractor | 701 Nw School St, Ankeny, IA 50023-1735 | 2020-03-19 |
| 1316572795 | Ayusa Ogawa Lisk | Chiropractor | 4815 Ne Trilein Dr, Ankeny, IA 50021-8106 | 2020-03-06 |
| Find all providers with the same taxonomy | ||||
| City | SERGEANT BLUFF |
| Zip Code | 51054 |
Please comment or provide details below to improve the information on DR. LYLE D NISSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.