Wayne Sport & Spine, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1065 Issued in NE

Legal business name

WAYNE SPORT & SPINE, P.C.

Practice address

214 N Pearl St
Wayne, NE 68787-1902

Phone

(402) 375-3000

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert K Krugman, DC

Title

Owner

Phone

(402) 375-3000

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1083876346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N PEARL ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871902",
            "telephone_number": "402-375-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N PEARL ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871902",
            "telephone_number": "402-375-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE SPORT & SPINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "KRUGMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-375-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT MEDICARE",
            "identifier": "P00307577",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NEBRASKA",
            "identifier": "36603",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505885989",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA",
            "identifier": "T67267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinne Volk
• Hayden Wallace
• Wayne Eye Care PC
• Wayne Public Schools
• Wayne Senior Center
• Wayne Sport and Spine Center, LLC
• Wayne Sport and Spine, PC
• Gary West, PA
• Roxanna Lee Westad Pechtel
• Westholl Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.