Organization Active NPI

Swanson Chiropractic, Prof LLC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1013149525
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SWANSON CHIROPRACTIC, PROF LLC
Doing business as
Comfort Chiropractic
Practice address
4720 W Huntington Ave Ste H
Lincoln, NE 68524-1528
Phone
(402) 484-5177
NPI assigned
Aug 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Jerrad Swanson, DCNPI 1912470048
Title
Owner/President
Phone
(402) 484-5177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4720 W Huntington Ave Ste H
Lincoln, NE 68524-1528

Mailing address

4720 W Huntington Ave Ste H
Lincoln, NE 68524-1528
Phone (402) 484-5177

Other names 1

  • Comfort Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100630000263 NE Part B Supplier - Clinic/Group Practice 2567593817 Receives reassigned benefits from 4 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

1600 S 70th St
Ste E
Lincoln, NE 68506

4720 W Huntington Ave
Ste H
Lincoln, NE 68524
Phone (402) 484-5166

2655 S 70th St
Lincoln, NE 68506
Phone (402) 484-5166

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1013149525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 W HUNTINGTON AVE STE H",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685241528",
            "telephone_number": "402-484-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 W HUNTINGTON AVE STE H",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685241528",
            "telephone_number": "402-484-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSON CHIROPRACTIC, PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JERRAD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-484-5177",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.