NPIMap

Organization Active NPI

Akridge and Akridge Chiropractic West, LLC

  • Professional Counselor
  • Omaha, NE
National Provider Identifier
1124512298
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AKRIDGE AND AKRIDGE CHIROPRACTIC WEST, LLC
Practice address
1529 S 203Rd St Ste 103
Omaha, NE 68130-2867
Phone
(402) 884-4774
NPI assigned
Jun 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Dr. Craig A Akridge, DCNPI 1366751570
Title
Chiropractic Physician
Phone
(402) 253-9350

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1529 S 203Rd St Ste 103
Omaha, NE 68130-2867

Mailing address

1529 S 203Rd St Ste 103
Omaha, NE 68130-2867
Phone (402) 884-4774

Other names 1

  • Elkhorn South Integrated Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190808002231 NE Part B Supplier - Clinic/Group Practice 6709113061 Receives reassigned benefits from 6 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

3811 Twin Creek Dr
Ste 102
Bellevue, NE 68123
Phone (402) 884-4774

Practitioners & affiliated clinicians

Practitioners 6

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": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1124512298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 S 203RD ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302867",
            "telephone_number": "402-884-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 S 203RD ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302867",
            "telephone_number": "402-884-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRIDGE AND AKRIDGE CHIROPRACTIC WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "AKRIDGE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "402-253-9350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkhorn South Integrated Health",
            "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 May 17, 2024; 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.