Organization Active NPI

Reconnect Chiropractic, P.C.

  • Clinic/Center
  • Papillion, NE
National Provider Identifier
1114257763
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1598 Issued in NE
Legal business name
RECONNECT CHIROPRACTIC, P.C.
Practice address
607 Pinnacle Dr
Suite a
Papillion, NE 68046-3422
Phone
(402) 592-2234
NPI assigned
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Eric Wayne Heien, D.C.NPI 1942530597
Title
Chiropractor
Phone
(402) 592-2234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1598 NE Primary

Addresses

Primary practice location

607 Pinnacle Dr
Suite a
Papillion, NE 68046-3422

Mailing address

607 Pinnacle Dr
Suite a
Papillion, NE 68046-3422
Phone (402) 592-2234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100318000428 NE Part B Supplier - Clinic/Group Practice 1658406442 Receives reassigned benefits from 1 practitioner
Practice locations: Papillion, NE

National Provider Directory

National Provider Directory

Locations

607 Pinnacle Dr
Ste A
Papillion, NE 68046
Phone (402) 592-2234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1114257763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 PINNACLE DR",
            "address_2": "SUITE A",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463422",
            "telephone_number": "402-592-2234",
            "fax_number": "402-592-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 PINNACLE DR",
            "address_2": "SUITE A",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463422",
            "telephone_number": "402-592-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONNECT CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "HEIEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "402-592-2234",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "1598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.