Organization Active NPI

Eric M Clements PC

Doing business as Back and Neck Care Center

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1255546826
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1140 Issued in NE
Legal business name
ERIC M CLEMENTS PC
Doing business as
Back and Neck Care Center
Practice address
2055 N 156TH St
Omaha, NE 68116-6465
Phone
(402) 493-6777
Fax
(402) 493-7909
NPI assigned
May 14, 2007
Last updated
Oct 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Eric Clements, D.C.NPI 1629088380
Title
President
Phone
(402) 493-6777

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
Chiropractor 111N00000X 1140 NE Primary

Addresses

Primary practice location

2055 N 156TH St
Omaha, NE 68116-6465

Mailing address

2055 N 156TH St
Omaha, NE 68116-6465
Phone (402) 493-6777

Other identifiers 1

IdentifierTypeStateIssuer
10025808900MedicaidNE

Other names 1

  • Back and Neck Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101027000027 NE Part B Supplier - Clinic/Group Practice 6901090612 Receives reassigned benefits from 2 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory
Tax ID family
Back and Neck Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1255546826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 N 156TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681166465",
            "telephone_number": "402-493-6777",
            "fax_number": "402-493-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N 156TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681166465",
            "telephone_number": "402-493-6777",
            "fax_number": "402-493-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC M CLEMENTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-493-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025808900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back and Neck Care Center",
            "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 Oct 25, 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.