Individual provider Active NPI

Jeffrey Lynn Cumro, D.C.

  • Chiropractor
  • Nebraska City, NE
National Provider Identifier
1093043655
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1578 Issued in NE
Practice address
605 1St Corso
Nebraska City, NE 68410-2407
Phone
(402) 873-6999
Fax
(402) 873-3302
NPI assigned
Nov 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X 1578 NE
Chiropractor 111N00000X 1578 NE Primary

Addresses

Primary practice location

605 1St Corso
Nebraska City, NE 68410-2407

Mailing address

605 1St Corso
Nebraska City, NE 68410-2407
Phone (402) 873-6999

Other practice location 1

10700 Sapp Brothers Dr
Omaha, NE 68138-3823
Phone (402) 770-3109

Other practice location 2

605 1st Corso
Nebraska City, NE 68410
Phone (402) 873-6999

Other identifiers 2

IdentifierTypeStateIssuer
1396073953OtherNEGROUP NPI
100258274MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000863 NE Practitioner - Chiropractic 1951439959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

605 1St Corso
Nebraska City, NE 68410-2407
Phone (402) 873-6999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Life Chiropractic and Wellness, LLC Chiropractor CurrentSince Jan 12, 2010 Accepting new patients
Nebraska City Chiropractic, LLC Chiropractor PastSince Jan 12, 2010 Accepting new patients

Locations

605 1st Corso
Nebraska City, NE 68410
Phone (402) 873-6999

10700 Sapp Brothers Dr
Omaha, NE 68138
Phone (402) 210-1472

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1093043655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 1ST CORSO",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684102407",
            "telephone_number": "402-873-6999",
            "fax_number": "402-873-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 1ST CORSO",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684102407",
            "telephone_number": "402-873-6999",
            "fax_number": "402-873-3302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 Sapp Brothers Dr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681383823",
            "country_code": "US",
            "telephone_number": "402-770-3109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 1st Corso",
            "address_purpose": "LOCATION",
            "city": "Nebraska City",
            "state": "NE",
            "postal_code": "68410",
            "country_code": "US",
            "telephone_number": "402-873-6999",
            "fax_number": "402-873-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMRO",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "NE",
            "license": "1578",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1396073953",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100258274",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nebraska City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.