Organization Active NPI

Rupp Chiropractic & Advanced Nutrition LLC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1225334642
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1645 Issued in NE
Legal business name
RUPP CHIROPRACTIC & ADVANCED NUTRITION LLC
Practice address
14609 Ames PLZ Apt 102
Omaha, NE 68116-1507
Phone
(913) 523-6869
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. Kyle Matthew Rupp, D.C.NPI 1992001747
Title
Owner/Operator
Phone
(913) 523-6869

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 1645 NE Primary

Addresses

Primary practice location

14609 Ames PLZ Apt 102
Omaha, NE 68116-1507

Mailing address

14609 Ames PLZ Apt 102
Omaha, NE 68116-1507
Phone (913) 523-6869

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110421000230 NE Part B Supplier - Clinic/Group Practice 9830374677 Receives reassigned benefits from 2 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

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": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1225334642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14609 AMES PLZ APT 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681161507",
            "telephone_number": "913-523-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14609 AMES PLZ APT 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681161507",
            "telephone_number": "913-523-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUPP CHIROPRACTIC & ADVANCED NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "RUPP",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "913-523-6869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1645",
            "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 2, 2011; 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.