Avenue Chiropractic & Wellness Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

952 Issued in NE

Legal business name

AVENUE CHIROPRACTIC & WELLNESS CLINIC, PC

Practice address

2559 37TH Ave
Columbus, NE 68601-2359

Phone

(402) 564-7514

Fax

(402) 564-3439

NPI assigned

Oct 17, 2007

Last updated

Oct 28, 2015By 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

Dr. Ralph B Crabtree, D.C.NPI 1780732198

Title

Owner

Phone

(402) 564-7514

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: bruce@acwc0005.direct.chirotouch.md

Practitioners 1

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.

• Ralph B Crabtree, DC

  • Chiropractor
  • Columbus, NE
  • NPI 1780732198
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1194914945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686020673",
            "telephone_number": "402-564-7514",
            "fax_number": "402-564-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 37TH AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012359",
            "telephone_number": "402-564-7514",
            "fax_number": "402-564-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE CHIROPRACTIC & WELLNESS CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-564-7514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.