KENN E IVERSON DC P C
NPI 1265629240
Chiropractor in Jamestown, ND

Active since October 03, 2007
312 2ND AVE SW STE 101, JAMESTOWN, ND 58401(701) 252-2424(701) 252-3205 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenn E Iverson Dc P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENN E IVERSON DC P C (NPI 1265629240) is a healthcare organization registered as a chiropractor in Jamestown, North Dakota and active in the NPI registry since October 2007. The organization lists Tammy Zuck, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265629240
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKENN E IVERSON DC P C
Location Address312 2ND AVE SW STE 101Jamestown, ND 58401-4177
Mailing Address312 2nd Ave Sw Ste 101Jamestown, ND 58401-4177 · (701) 252-2424 · Fax (701) 252-3205
Fax(701) 252-3205
Organization SubpartNo
Authorized OfficialTammy ZuckOffice Manager · (701) 252-2424
Enumeration DateOctober 3, 2007
Last NPPES UpdateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
✔ NPI 1265629240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ND · 733
Definition
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.
312 2ND AVE SW STE 101, Jamestown, ND 58401

Other Identifiers 2

Medicaid13530ND
Other6577-001ND · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenn E Iverson Dc P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenn E Iverson Dc P C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1275625030
1008 10TH ST SE
Jamestown, ND 58401
(701) 252-2424
✔ Accepts Medicare0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenn E Iverson Dc P C's NPI number?

The NPI number for Kenn E Iverson Dc P C is 1265629240. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Kenn E Iverson Dc P C located?

Kenn E Iverson Dc P C is located at 312 2nd Ave SW Ste 101, Jamestown, ND 58401. The listed phone number is (701) 252-2424.

What is Kenn E Iverson Dc P C's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kenn E Iverson Dc P C enrolled in Medicare?

Yes. Kenn E Iverson Dc P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenn E Iverson Dc P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kenn E Iverson Dc P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kenn E Iverson Dc P C accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kenn E Iverson Dc P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenn E Iverson Dc P C was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.