Organization Active NPI

Core Chiropractic, P.C.

  • Chiropractor
  • Elkhorn, NE
National Provider Identifier
1073801775
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1603 Issued in NE
Legal business name
CORE CHIROPRACTIC, P.C.
Practice address
940 N 204TH Ave
Ste. 240
Elkhorn, NE 68022-4606
Phone
(402) 502-1001
Fax
(402) 502-6371
NPI assigned
Jul 14, 2011
Last updated
Jul 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Dr. Kyle Bradley Held, D.C.NPI 1912236480
Title
President
Phone
(712) 389-5139

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 1603 NE Primary

Addresses

Primary practice location

940 N 204TH Ave
Ste. 240
Elkhorn, NE 68022-4606

Mailing address

940 N 204TH Ave
Ste. 240
Elkhorn, NE 68022-4606
Phone (402) 502-1001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110823000547 NE Part B Supplier - Clinic/Group Practice 0648440099 Receives reassigned benefits from 1 practitioner
Practice locations: Elkhorn, NE

National Provider Directory

National Provider Directory

Locations

940 N 204th Ave
Ste 240
Elkhorn, NE 68022
Phone (402) 502-1001

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1073801775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N 204TH AVE",
            "address_2": "STE. 240",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224606",
            "telephone_number": "402-502-1001",
            "fax_number": "402-502-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N 204TH AVE",
            "address_2": "STE. 240",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224606",
            "telephone_number": "402-502-1001",
            "fax_number": "402-502-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "HELD",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-389-5139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.