Omne Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1859 Issued in NE

Legal business name

OMNE CHIROPRACTIC LLC

Practice address

15615 Pacific St Ste 106
Omaha, NE 68118-2187

Phone

(402) 933-4447

Fax

(402) 933-4857

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jace Alan Peters, DCNPI 1861865735

Title

Owner/Chiropractor

Phone

(402) 933-4447

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OMNE Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jace Alan Peters, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1861865735
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1295246791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N 49TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681045054",
            "telephone_number": "402-720-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 PACIFIC ST STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182187",
            "telephone_number": "402-933-4447",
            "fax_number": "402-933-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JACE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "402-933-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48804588200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNE Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ekram Hatim Omer
• Heather Marie Omer
• Jennifer Omer, PLMHP
• Lilly Omer
• Natalie Dawn Ommen, MD
• Omni Behavioral Health
• Omni Behavioral Health
• Omni Behavioral Health
• Jumoke Omojola
• Matthew F Omojola, M.D.

• All providers in Omaha, NE
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.