Active Spine and Joint Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1904 Issued in NE

Legal business name

ACTIVE SPINE AND JOINT CHIROPRACTIC LLC

Doing business as

Harvest Chiropractic & Wellness

Practice address

10208 S 168TH Ave Ste 4
Omaha, NE 68136-4185

Phone

(402) 885-9296

NPI assigned

Oct 30, 2017

Last updated

Apr 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Dalton, DCNPI 1457720740

Title

Owner

Phone

(402) 885-9296

Specialties & licenses 1

Addresses

Other names 2

• Harvest Chiropractic & Wellness Doing business as
• Sarpy Spine and Sport Chiropractic Other name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Dalton, DC

  • Chiropractor
  • Omaha, NE
  • NPI 1457720740
  Medicare reassignment Care Compare group NPD Authorized official
• Tracey Dalton, D.C.

  • Chiropractor
  • Lincoln, NE
  • NPI 1508239815
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1164934162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 8TH ST",
            "city": "SPRINGFIELD",
            "state": "NE",
            "postal_code": "680595743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 S 168TH AVE STE 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681364185",
            "telephone_number": "402-885-9296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "NE",
            "postal_code": "68059",
            "country_code": "US",
            "telephone_number": "402-885-9296",
            "fax_number": "402-625-0496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8301 Cody Dr Ste E&f",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685123759",
            "country_code": "US",
            "telephone_number": "402-885-9293",
            "fax_number": "402-625-0496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE SPINE AND JOINT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-885-9296",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvest Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sarpy Spine and Sport Chiropractic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sarpy Spine and Sport Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.