Individual provider Active NPI

Cassandra Thielen, DC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1154965473
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2028 Issued in NE
Practice address
18010 R PLZ Ste 104
Omaha, NE 68135-1923
Phone
(402) 408-6561
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2028 NE Primary

Addresses

Primary practice location

18010 R PLZ Ste 104
Omaha, NE 68135-1923

Mailing address

19506 U St
Omaha, NE 68135-4211
Phone (402) 981-4792

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191219000818 NE Practitioner - Chiropractic 8527492826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rethwisch Family Chiropractic, P.C.Group PAC ID 5799730370, 3 clinicians

Practice addresses (Care Compare)

18010 R PLZ
Suite 104
Omaha, NE 68135-1923
Phone (402) 408-6561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2028NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stride to Life Chiropractic, LLC Chiropractor Current Accepting new patients
Rethwisch Family Chiropractic, P.C. Chiropractor CurrentSince Dec 3, 2019 Accepting new patients
Docjjr, LLC Chiropractor PastSince Jul 5, 2022 Accepting new patients

Locations

11917 Pierce Plz
Omaha, NE 68144
Phone (402) 778-1100

18010 R Plz
Ste 104
Omaha, NE 68135
Phone (402) 408-6561

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1154965473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19506 U ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681354211",
            "telephone_number": "402-981-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18010 R PLZ STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351923",
            "telephone_number": "402-408-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "CASSANDRA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.