Elevate Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1942 Issued in NE

Legal business name

ELEVATE CHIROPRACTIC LLC

Practice address

15615 Pacific St Ste 106
Omaha, NE 68118-2187

Phone

(402) 933-4447

Fax

(402) 933-4857

NPI assigned

Aug 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Blake Barry, DC

Title

Owner

Phone

(402) 933-4447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1215416888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15615 PACIFIC ST STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182187",
            "telephone_number": "402-933-4447",
            "fax_number": "402-933-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 PACIFIC ST STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182187",
            "telephone_number": "402-933-4447",
            "fax_number": "402-933-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-933-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.