Individual provider Active NPI

Collin Sears, DC

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1215525464
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2084 Issued in NE
Practice address
4715 2ND Ave
Kearney, NE 68847-2463
Phone
(308) 455-1500
Fax
(308) 455-1502
NPI assigned
Jan 4, 2021
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2084 NE Primary

Addresses

Primary practice location

4715 2ND Ave
Kearney, NE 68847-2463

Mailing address

4715 2ND Ave
Kearney, NE 68847-2463
Phone (308) 455-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202002376 NE Practitioner - Chiropractic 8022422062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Chiropractic and Tissue Rehabilitation LLCGroup PAC ID 2961682794, 5 clinicians

Practice addresses (Care Compare)

4715 2ND Ave
Kearney, NE 68847-2417
Phone (308) 455-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic & Tissue Rehabilitation, LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

4715 2nd Ave
Kearney, NE 68847
Phone (308) 455-1500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1215525464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472463",
            "telephone_number": "308-455-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472463",
            "telephone_number": "308-455-1500",
            "fax_number": "308-455-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "COLLIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.