Organization Active NPI

Sarpy Chiropractic - West O, LLC

Doing business as Sarpy Chiropractic

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1114672359
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SARPY CHIROPRACTIC - WEST O, LLC
Doing business as
Sarpy Chiropractic
Practice address
16909 Burke St Ste 124
Omaha, NE 68118-2268
Phone
(402) 593-9930
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Dr. Rodney White, DC
Title
President
Phone
(402) 593-9930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

16909 Burke St Ste 124
Omaha, NE 68118-2268

Mailing address

16909 Burke St Ste 124
Omaha, NE 68118-2268
Phone (402) 593-9930

Other names 1

  • Sarpy Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220525002202 NE Part B Supplier - Clinic/Group Practice 5193103513 Receives reassigned benefits from 2 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1114672359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 BURKE ST STE 124",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182268",
            "telephone_number": "402-593-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 BURKE ST STE 124",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182268",
            "telephone_number": "402-593-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARPY CHIROPRACTIC - WEST O, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-593-9930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarpy Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.