Robert Gerald Nilles, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1804 Issued in NE

Practice address

12411 W Center Rd Ste 105
Omaha, NE 68144-3951

Phone

(402) 505-4414

Fax

(402) 614-9806

NPI assigned

Feb 14, 2006

Last updated

Sep 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Diamond Chiropractic & Acupuncture, LLC

  • Chiropractor
  • Omaha, NE
  • NPI 1003217175
  Medicare reassignment NPD Authorized official
• Diamond Chiropractic North LLC

  • Chiropractor
  • Omaha, NE
  • NPI 1689345522
  Medicare reassignment NPD Authorized official
• Nilles Chiropractic PC

  • Chiropractor
  • Le Mars, IA
  • NPI 1801991336
  NPD (past) Authorized official

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1235103565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 W CENTER RD STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443951",
            "telephone_number": "402-505-4414",
            "fax_number": "402-614-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 W CENTER RD STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443951",
            "telephone_number": "402-505-4414",
            "fax_number": "402-614-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILLES",
        "first_name": "ROBERT",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1147819",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Niles
• Deborah Nilius, MS CCC/SLP
• Gregory Scott Nilius, DC
• Thomas Theodore Nilles-Melchert, MD
• Jonathan Nilles, DO
• Dakota Nilson
• Dennis Elof Nilsson, D.D.S.
• Princess Nimako
• Ryan Nimick
• Stephanie Nimmer

• 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 Sep 21, 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.