Organization Active NPI

Healthy Back Chiropractic LLC

Doing business as The Healthy Back

  • Chiropractor
  • Albion, NE
National Provider Identifier
1114273604
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1539 Issued in NE
Legal business name
HEALTHY BACK CHIROPRACTIC LLC
Doing business as
The Healthy Back
Practice address
228 S 11TH St
Albion, NE 68620-1157
Phone
(402) 395-6957
Fax
(402) 395-9918
NPI assigned
Aug 2, 2012
Last updated
Oct 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Dr. Amy Lynne Hoppe, DC
Title
Chiropractor
Phone
(402) 395-6957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1539 NE Primary

Addresses

Primary practice location

228 S 11TH St
Albion, NE 68620-1157

Mailing address

1106 W State St
Albion, NE 68620-1362
Phone (402) 395-6957

Other names 1

  • The Healthy Back Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121018000296 NE Part B Supplier - Clinic/Group Practice 4486804994 Receives reassigned benefits from 1 practitioner
Practice locations: Albion, NE

National Provider Directory

National Provider Directory

Locations

1106 W State St
Albion, NE 68620
Phone (402) 395-6957

228 S 11th St
Albion, NE 68620
Phone (402) 395-6957

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1114273604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W STATE ST",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686201362",
            "telephone_number": "402-395-6957",
            "fax_number": "402-395-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S 11TH ST",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686201157",
            "telephone_number": "402-395-6957",
            "fax_number": "402-395-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY BACK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "HOPPE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "402-395-6957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healthy Back",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Healthy Back",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.