Organization Active NPI

Subluxation 2 LLC

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1154923126
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUBLUXATION 2 LLC
Doing business as
Active Family Chiropractic & Acupuncture
Practice address
5012 3Rd Ave
Kearney, NE 68845-8506
Phone
(308) 222-4400
Fax
(308) 222-4038
NPI assigned
Nov 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Dr. Scott Rief, DCNPI 1982804456
Title
Owner
Phone
(308) 384-4955

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 Primary

Addresses

Primary practice location

5012 3Rd Ave
Kearney, NE 68845-8506

Mailing address

2441 N Diers Ave
Grand Island, NE 68803-1240
Phone (308) 384-4955

Other identifiers 1

IdentifierTypeStateIssuer
10026848500MedicaidNE

Other names 1

  • Active Family Chiropractic & Acupuncture Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.activefamilykearney@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201125001618 NE Part B Supplier - Clinic/Group Practice 4981015880 Receives reassigned benefits from 5 practitioners
Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Locations

5012 3rd Ave
Kearney, NE 68845
Phone (308) 222-4400

5012 3rd Ave
Ste 170
Kearney, NE 68845
Phone (308) 222-4400

Practitioners & affiliated clinicians

Practitioners 5

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": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1154923126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 N DIERS AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031240",
            "telephone_number": "308-384-4955",
            "fax_number": "308-384-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 3RD AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458506",
            "telephone_number": "308-222-4400",
            "fax_number": "308-222-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLUXATION 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "RIEF",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-384-4955",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026848500",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.activefamilykearney@gmail.com",
            "affiliation": "N",
            "address_1": "5012 3rd Ave",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688458506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Active Family Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Active Family Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.