Organization Active NPI

Edg Company LLC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1245532936
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1590 Issued in NE
Legal business name
EDG COMPANY LLC
Practice address
14438 W Center Rd
Omaha, NE 68144-3217
Phone
(402) 210-2212
Fax
(402) 408-9739
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Dr. Emily Diane Gartner, D.C.
Title
President, Owner
Phone
(402) 210-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1590 NE Primary

Addresses

Primary practice location

14438 W Center Rd
Omaha, NE 68144-3217

Mailing address

14438 W Center Rd
Omaha, NE 68144-3217
Phone (402) 210-2212

Other names 1

  • Gartner Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110105000272 NE Part B Supplier - Clinic/Group Practice 1759570849 Receives reassigned benefits from 1 practitioner
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": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1245532936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14438 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443217",
            "telephone_number": "402-210-2212",
            "fax_number": "402-408-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14438 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443217",
            "telephone_number": "402-210-2212",
            "fax_number": "402-408-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "GARTNER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "402-210-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gartner Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2010; 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.