Organization Active NPI

Century House Chiropractic PC

  • Chiropractor
  • York, NE
National Provider Identifier
1124067772
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1089 Issued in NE
Legal business name
CENTURY HOUSE CHIROPRACTIC PC
Practice address
201 W 7TH St
York, NE 68467-2924
Phone
(402) 362-6343
Fax
(402) 362-6343
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Julie Ann Schelkopf, DCNPI 1477749869
Title
President Chiropractor
Phone
(402) 362-6343

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1089 NE Primary

Addresses

Primary practice location

201 W 7TH St
York, NE 68467-2924

Mailing address

201 W 7TH St
York, NE 68467-2924
Phone (402) 362-6343

Other identifiers 4

IdentifierTypeStateIssuer
36605OtherNEBCBS
267582OtherNEMEDICAR NUMBER
36686OtherGROUP #
47079758100MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071113000345 NE Part B Supplier - Clinic/Group Practice 3173611928 Receives reassigned benefits from 1 practitioner
Practice locations: York, NE

National Provider Directory

National Provider Directory

Locations

201 W 7th St
York, NE 68467
Phone (402) 362-6343

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": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1124067772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 7TH ST",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684672924",
            "telephone_number": "402-362-6343",
            "fax_number": "402-362-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 7TH ST",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684672924",
            "telephone_number": "402-362-6343",
            "fax_number": "402-362-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY HOUSE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "SCHELKOPF",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT CHIROPRACTOR",
        "authorized_official_telephone_number": "402-362-6343",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36605",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAR NUMBER",
            "identifier": "267582",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "36686",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47079758100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.