John William McClaren, D.C., DACNB

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

1269 Issued in NE

Practice address

12040 McDermott PLZ
Ste 320
La Vista, NE 68128-2354

Phone

(402) 597-2869

Fax

(402) 597-2536

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Chiropractic & Neurology, PC

  • Neurology Chiropractor
  • La Vista, NE
  • NPI 1467603464
  Medicare reassignment NPD Authorized official
• Dr Colby J Carter LLC

  • Chiropractor
  • La Vista, NE
  • NPI 1811591704
  NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1104046945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 MCDERMOTT PLZ",
            "address_2": "STE 320",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282354",
            "telephone_number": "402-597-2869",
            "fax_number": "402-597-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 MCDERMOTT PLZ",
            "address_2": "STE 320",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282354",
            "telephone_number": "402-597-2869",
            "fax_number": "402-597-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAREN",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C., DACNB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NE",
            "license": "1269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084486100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "99512",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaeden N Matlock-Gaston
• Karissa Matthews, LMHP, PLADC, LPCC
• Judith Matuszewski
• Erin May
• Rachel L. McCann, M.D.
• Erin McClelland, PHARMD
• Taylor McClelland
• China McCray
• Bailyn McDaniel
• Jordan McDonald

• Neurology Chiropractor in La Vista, NE
• Providers in La Vista, NE by specialty
• Neurology Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.