Godfrey Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1183 Issued in NE

Legal business name

GODFREY CHIROPRACTIC PC

Practice address

2281 S 67TH St
Omaha, NE 68106-2809

Phone

(402) 331-0392

Fax

(402) 331-0183

NPI assigned

Nov 21, 2006

Last updated

Aug 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce S Godfrey, DCNPI 1053304196

Title

President

Phone

(402) 331-0392

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 4

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.

• Bruce Schoenman Godfrey, DC

  • Chiropractor
  • Omaha, NE
  • NPI 1053304196
  Medicare reassignment NPD Authorized official
• Ann Ealy, LMT

  • Massage Therapist
  • Omaha, NE
  • NPI 1710617725
  NPD
• Chase Dean L'Heureux

  • Chiropractor
  • Kearney, NE
  • NPI 1497032049
  NPD
• Cathy Diane Terry, CLMT

  • Specialist
  • Omaha, NE
  • NPI 1467510834
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1003981754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 S 67TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062809",
            "telephone_number": "402-331-0392",
            "fax_number": "402-331-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 S 67TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062809",
            "telephone_number": "402-331-0392",
            "fax_number": "402-331-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODFREY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-331-0392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GODFREY CHIROPRACTIC NPI",
            "identifier": "1003981754",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR. KATE GODFREY",
            "identifier": "1841283983",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR. BRUCE GODFREY",
            "identifier": "1053304196",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay E Godberson
• Paige Godberson
• Tonya S Godden, CRNA
• Goddess Oshun Home Health Care LLC
• Morgan Godemann
• Bruce Schoenman Godfrey, DC
• Jean Godfrey
• Kate Gruen Godfrey, DC
• Kelly Godfrey, MSN, APRN, FNP-C
• Krista Marie Godfrey, R.D.

• 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 Aug 31, 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.