Organization Active NPI

Ignite Family Chiropractic PC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1013571991
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IGNITE FAMILY CHIROPRACTIC PC
Practice address
4645 Normal Blvd Ste 200
Lincoln, NE 68506-5823
Phone
(402) 483-6633
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Dr. Sean Bicknase, D.C.
Title
Owner
Phone
(402) 604-0711

Specialties & licenses 1

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

Addresses

Primary practice location

4645 Normal Blvd Ste 200
Lincoln, NE 68506-5823

Mailing address

4645 Normal Blvd Ste 200
Lincoln, NE 68506-5823
Phone (402) 483-6633

Other identifiers 1

IdentifierTypeStateIssuer
1750840302MedicaidNE

Other names 1

  • Mosier/Timperley Chiropractic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1013571991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 NORMAL BLVD STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065823",
            "telephone_number": "402-483-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 NORMAL BLVD STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065823",
            "telephone_number": "402-483-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "BICKNASE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-604-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750840302",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosier/Timperley Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.