Organization Active NPI

A Center for Chiropractic & Alternative Medicine PC

  • Chiropractor
  • Norfolk, NE
National Provider Identifier
1114936366
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1370 Issued in NE
Legal business name
A CENTER FOR CHIROPRACTIC & ALTERNATIVE MEDICINE PC
Practice address
1800 W Pasewalk Ste 102
Norfolk, NE 68701
Phone
(402) 371-4673
Fax
(402) 371-7431
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Angela Thane, D.C.
Title
President
Phone
(402) 316-9733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1370 NE Primary

Addresses

Primary practice location

1800 W Pasewalk Ste 102
Norfolk, NE 68701

Mailing address

1800 W Pasewalk Ste 102
Norfolk, NE 68701
Phone (402) 371-4673

Other identifiers 1

IdentifierTypeStateIssuer
10025275900MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050728001208 NE Part B Supplier - Clinic/Group Practice 5698703866 Receives reassigned benefits from 3 practitioners
Practice locations: Norfolk, NE

National Provider Directory

National Provider Directory

Locations

214 N 7th St
Ste 7
Norfolk, NE 68701
Phone (402) 316-4163

304 N 5th St
Ste A
Norfolk, NE 68701
Phone (402) 371-4673

120 N 27th St
Ste 200
Norfolk, NE 68701
Phone (402) 371-3444

1800 W Pasewalk Ave
Ste 102
Norfolk, NE 68701
Phone (402) 371-4673

Practitioners & affiliated clinicians

Practitioners 4

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1114936366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W PASEWALK STE 102",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-371-4673",
            "fax_number": "402-371-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W PASEWALK STE 102",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-371-4673",
            "fax_number": "402-371-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CENTER FOR CHIROPRACTIC & ALTERNATIVE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "THANE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-316-9733",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025275900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.