Eagle Run Chiropractic, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EAGLE RUN CHIROPRACTIC, P.C.

Practice address

13808 W Maple Rd
Suite 116
Omaha, NE 68164-6231

Phone

(402) 491-4087

Fax

(402) 491-4091

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Friend, D.C.NPI 1477628683

Title

President

Phone

(402) 491-4087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

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

• Patrick John Friend, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1477628683
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1003184045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13808 W MAPLE RD",
            "address_2": "SUITE 116",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681646231",
            "telephone_number": "402-491-4087",
            "fax_number": "402-491-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13808 W MAPLE RD",
            "address_2": "SUITE 116",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681646231",
            "telephone_number": "402-491-4087",
            "fax_number": "402-491-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RUN CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "FRIEND",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-491-4087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constante Dzokpe
• E D Anderson Lawncare Inc
• E Hospice Group of Nebraska No 1 LLC
• Demedra E Lewis
• Rachel Nichole Eads, RN
• Nan Myat Noe Eain
• Gregory Eakins, M.D.
• Jordan Karl Ealey, DPT
• Alianna Ealy
• Ann Ealy, LMT

• Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.