Organization Active NPI

Ac Chiropractic and Wellness, LLC

  • Chiropractor
  • Laurel, NE
National Provider Identifier
1194241372
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1753 Issued in NE
Legal business name
AC CHIROPRACTIC AND WELLNESS, LLC
Practice address
114 E 2ND St
Laurel, NE 68745-1990
Phone
(402) 256-8200
Fax
(402) 256-8210
NPI assigned
Aug 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Aaron Gerald Christiansen, DCNPI 1124464482
Title
Owner
Phone
(402) 518-6011

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 1753 NE Primary

Addresses

Primary practice location

114 E 2ND St
Laurel, NE 68745-1990

Mailing address

PO Box 307
Laurel, NE 68745-0307
Phone (402) 256-8200

Other practice location 1

325 North State Street Suite 13
Osmond, NE 68765
Phone (402) 256-8200

Other identifiers 1

IdentifierTypeStateIssuer
NA2450MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180912001109 NE Part B Supplier - Clinic/Group Practice 4284984212 Receives reassigned benefits from 1 practitioner
Practice locations: Laurel, NE; Osmond, NE

National Provider Directory

National Provider Directory

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": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194241372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "LAUREL",
            "state": "NE",
            "postal_code": "687450307",
            "telephone_number": "402-256-8200",
            "fax_number": "402-256-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 2ND ST",
            "city": "LAUREL",
            "state": "NE",
            "postal_code": "687451990",
            "telephone_number": "402-256-8200",
            "fax_number": "402-256-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 North State Street Suite 13",
            "address_purpose": "LOCATION",
            "city": "Osmond",
            "state": "NE",
            "postal_code": "68765",
            "country_code": "US",
            "telephone_number": "402-256-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AC CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-518-6011",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA2450",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.