Organization Active NPI

Bellevue Chiropractic

Doing business as Bellevue Chiropractic, LLC

  • Chiropractor
  • Bellevue, NE
National Provider Identifier
1194351569
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BELLEVUE CHIROPRACTIC
Doing business as
Bellevue Chiropractic, LLC
Practice address
1311 Harlan Dr
Bellevue, NE 68005-3647
Phone
(402) 905-0132
NPI assigned
Mar 18, 2020
Last updated
Apr 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Dr. William Luke Blackburn
Title
Owner
Phone
(402) 905-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1311 Harlan Dr
Bellevue, NE 68005-3647

Mailing address

1311 Harlan Dr
Bellevue, NE 68005-3647
Phone (402) 905-0132

Other identifiers 2

IdentifierTypeStateIssuer
1497032049OtherINDIVIDUAL NPI
1467719880OtherINDIVIDUAL NPI

Other names 1

  • Bellevue Chiropractic, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1311 Harlan Dr
Bellevue, NE 68005
Phone (402) 292-6611

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1194351569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 HARLAN DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053647",
            "telephone_number": "402-905-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 HARLAN DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053647",
            "telephone_number": "402-905-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-905-0132",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1497032049",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1467719880",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Chiropractic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.