Roger K Madsen, D.C.
Individual provider Active NPI Chiropractor · Ralston, NE
NPI 1104832211 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104832211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1145 (NE)
- Practice address
- 8013 L St
Ralston, NE 68127-1734 - Phone
- (402) 592-7686
- Fax
- (402) 592-0689
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
- RKM Inc.
Practice addresses (Care Compare)
8013 L St
Ralston, NE 68127-1734
Phone (402) 592-7686
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110405001038 | NE | Practitioner - Chiropractic | 1355525932 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1145 | NE | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RKM Inc. | Chiropractor | Current |
Accepting new patients |
Locations
8013 L St
Ralston, NE 68127
Phone (402) 592-7686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1145 | NE | Yes |
Addresses
Primary practice location
8013 L St
Ralston, NE 68127-1734
Mailing address
8013 L St
Ralston, NE 68127-1734
Phone (402) 592-7686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36609 | Other | NE | BLUE CROSS BLUE SHIELD |
Other providers in Ralston, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.