Organization Active NPI

Soaring Health Chiropractic, LLC

  • Chiropractor
  • Sidney, NE
National Provider Identifier
1205397486
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOARING HEALTH CHIROPRACTIC, LLC
Practice address
2046 10TH Ave
Sidney, NE 69162-2302
Phone
(308) 203-1145
Fax
(308) 203-1214
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Dr. Christopher Lee Drake, D.C.NPI 1538564844
Title
Dr
Phone
(308) 203-1145

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 1

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

Addresses

Primary practice location

2046 10TH Ave
Sidney, NE 69162-2302

Mailing address

2046 10TH Ave
Sidney, NE 69162-2302
Phone (308) 203-1145

Other names 1

  • Soaring Health Chiropractic, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606001812 NE Part B Supplier - Clinic/Group Practice 9234569435 Receives reassigned benefits from 2 practitioners
Practice locations: Sidney, NE

National Provider Directory

National Provider Directory

Locations

2046 10th Ave
Sidney, NE 69162
Phone (308) 203-1145

4515 E Pershing Blvd
Unit B
Cheyenne, WY 82001
Phone (307) 514-0522

Practitioners & affiliated clinicians

Practitioners 2

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1205397486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 10TH AVE",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622302",
            "telephone_number": "308-203-1145",
            "fax_number": "308-203-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 10TH AVE",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622302",
            "telephone_number": "308-203-1145",
            "fax_number": "308-203-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "308-203-1145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soaring Health Chiropractic, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sidney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.