Aep Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1718 Issued in NE

Legal business name

AEP CHIROPRACTIC, LLC

Doing business as

InLine Chiropractic Clinic

Practice address

630 N Cotner Blvd
Suite 201
Lincoln, NE 68505-2339

Phone

(402) 937-9963

NPI assigned

Jun 21, 2012

Last updated

Jun 21, 2012By 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. Austin R Weaver, D.C.NPI 1609135912

Title

Owner

Phone

(402) 416-6369

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• InLine Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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.

• Austin Robert Weaver, D.C.

  • Chiropractor
  • Lincoln, NE
  • NPI 1609135912
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1083977284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 MERION CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269651",
            "telephone_number": "402-416-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N COTNER BLVD",
            "address_2": "SUITE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052339",
            "telephone_number": "402-937-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEP CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-416-6369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC STATE LICENSE",
            "identifier": "1718",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InLine Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.