Organization Active NPI

Southwick Chiropractic, PC

  • Chiropractor
  • Beatrice, NE
National Provider Identifier
1194900506
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTHWICK CHIROPRACTIC, PC
Practice address
554 Sargent St
Suite 1
Beatrice, NE 68310-1201
Phone
(402) 228-4000
Fax
(402) 228-4004
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. Michael D Southwick, DCNPI 1851349427
Title
President
Phone
(402) 228-4000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1217 NE
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

554 Sargent St
Suite 1
Beatrice, NE 68310-1201

Mailing address

554 Sargent St
Suite 1
Beatrice, NE 68310-1201
Phone (402) 228-4000

Other identifiers 1

IdentifierTypeStateIssuer
10025374300MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080328000181 NE Part B Supplier - Clinic/Group Practice 1153407341 Receives reassigned benefits from 1 practitioner
Practice locations: Beatrice, NE

National Provider Directory

National Provider Directory

Locations

560 Sargent St
Beatrice, NE 68310
Phone (402) 228-4000

554 Sargent St
Ste 1
Beatrice, NE 68310
Phone (402) 228-4000

Practitioners & affiliated clinicians

Practitioners 4

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1194900506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 SARGENT ST",
            "address_2": "SUITE 1",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683101201",
            "telephone_number": "402-228-4000",
            "fax_number": "402-228-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 SARGENT ST",
            "address_2": "SUITE 1",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683101201",
            "telephone_number": "402-228-4000",
            "fax_number": "402-228-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWICK CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "SOUTHWICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-228-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1217",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025374300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.