Active NPI
Seth Tyler Conard, D.C.
- Chiropractor
- Omaha, NE
National Provider Identifier
1194915256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011545
- Practice address
- 11906 I St
Omaha, NE 68137-1244 - Phone
- (402) 506-9696
- Fax
- (402) 986-6961
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011545 | IL | Primary |
Addresses
Primary practice location
11906 I St
Omaha, NE 68137-1244
Mailing address
11906 I St
Omaha, NE 68137-1244
Phone (402) 506-9696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1409 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neneman Chiropractic Clinic PC | Chiropractor | Past | Accepting new patients |
| Candlewood Chiropractic Clinic P C | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Omaha, NE
- NPI 1457542193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1194915256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11906 I ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371244",
"telephone_number": "402-506-9696",
"fax_number": "402-986-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11906 I ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371244",
"telephone_number": "402-506-9696",
"fax_number": "402-986-6961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONARD",
"first_name": "SETH",
"middle_name": "TYLER",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.