NPIMap

Organization Active NPI

Rethwisch Family Chiropractic, P.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1205942125
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RETHWISCH FAMILY CHIROPRACTIC, P.C.
Practice address
18010 R Plaza
Suite 104
Omaha, NE 68135
Phone
(402) 408-6561
Fax
(402) 408-6620
NPI assigned
Aug 22, 2006
Last updated
Mar 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Dr. Jeremiah Jon Rethwisch, DCNPI 1447264254
Title
President Owner Doctor
Phone
(402) 408-6561

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

18010 R Plaza
Suite 104
Omaha, NE 68135

Mailing address

18010 R Plaza
Suite 104
Omaha, NE 68135
Phone (402) 408-6561

Other identifiers 2

IdentifierTypeStateIssuer
10025201900MedicaidNE
DD0895OtherNERAILROAD MEDICARE GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050316000678 NE Part B Supplier - Clinic/Group Practice 5799730370 Receives reassigned benefits from 3 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

18010 R Plz
Ste 104
Omaha, NE 68135
Phone (402) 408-6561

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1205942125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18010 R PLAZA",
            "address_2": "SUITE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68135",
            "telephone_number": "402-408-6561",
            "fax_number": "402-408-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18010 R PLAZA",
            "address_2": "SUITE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68135",
            "telephone_number": "402-408-6561",
            "fax_number": "402-408-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETHWISCH FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "RETHWISCH",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT  OWNER  DOCTOR",
        "authorized_official_telephone_number": "402-408-6561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025201900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DD0895",
            "state": "NE"
        }
    ],
    "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 23, 2009; 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.