Active NPI
Cory A Nyenhuis, L.AC.
- Acupuncturist
- Omaha, NE
National Provider Identifier
1205374295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 37
- Practice address
- 3830 N 108TH St
Omaha, NE 68164-2943 - Phone
- (402) 515-2412
- Fax
- (402) 592-0689
- NPI assigned
- Feb 9, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 37 | NE | Primary |
Addresses
Primary practice location
3830 N 108TH St
Omaha, NE 68164-2943
Mailing address
3830 N 108TH St
Omaha, NE 68164-2943
Phone (402) 515-2412
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1205374295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 N 108TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681642943",
"telephone_number": "402-515-2412",
"fax_number": "402-592-0689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 N 108TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681642943",
"telephone_number": "402-515-2412",
"fax_number": "402-592-0689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYENHUIS",
"first_name": "CORY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-09",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NE",
"license": "37",
"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 Feb 9, 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.