Diamond Chiropractic & Acupuncture, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1804 Issued in NE

Legal business name

DIAMOND CHIROPRACTIC & ACUPUNCTURE, LLC

Practice address

12411 W Center Rd Ste 105
Omaha, NE 68144-3951

Phone

(402) 505-4414

NPI assigned

Sep 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert G Nilles, D.C.NPI 1235103565

Title

President

Phone

(402) 505-4414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Gerald Nilles, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1235103565
  Medicare reassignment NPD Authorized official
• Jordyn N Davis, DC

  • Chiropractor
  • Omaha, NE
  • NPI 1023778107
  Medicare reassignment NPD
• Russell Wayne Corey, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1306959663
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1003217175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 W CENTER RD STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443951",
            "telephone_number": "402-505-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 W CENTER RD STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443951",
            "telephone_number": "402-505-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND CHIROPRACTIC & ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "NILLES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-505-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youssoufi Diallo
• Dialysis Clinic Inc
• Dialysis Clinic Inc.
• Dialysis Clinic Inc.
• Steven J Diamantis, MD
• Diamond Chiropractic North LLC
• Jennifer N Diamond, DO
• Olivia Diamond
• Diane's Heavenly Care LLC
• Nyanyak Koang Diang

• Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.