Individual provider Active NPI

Tom Wayne Komp, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1255624292
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1672 Issued in NE
Practice address
14510 F St Ste 103
Omaha, NE 68137-5404
Phone
(785) 766-3692
NPI assigned
May 24, 2011
Last updated
May 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1672 NE Primary

Addresses

Primary practice location

14510 F St Ste 103
Omaha, NE 68137-5404

Mailing address

14510 F St Ste 103
Omaha, NE 68137-5404
Phone (785) 766-3692

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000754 NE Practitioner - Chiropractic 5294900981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Komp Chiropractic and Acupunture Clinic PCGroup PAC ID 0840465522, 2 clinicians

Practice addresses (Care Compare)

14510 F St
Suite 103
Omaha, NE 68137-5404
Phone (402) 502-3878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1672NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnessone of Oak View, Inc. Chiropractor PastSince Jun 27, 2011 Accepting new patients

Organizations & group practices 2

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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1255624292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14510 F ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375404",
            "telephone_number": "785-766-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14510 F ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375404",
            "telephone_number": "785-766-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMP",
        "first_name": "TOM",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1672",
            "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 May 24, 2011; 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.