Organization Active NPI

Subluxation 3, LLC

  • Chiropractor
  • Columbus, NE
National Provider Identifier
1295486587
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUBLUXATION 3, LLC
Doing business as
Active Family Chiropractic & Acupuncture
Practice address
2457 33Rd Ave
Columbus, NE 68601-1309
Phone
(024) 265-6800
Fax
(308) 384-7088
NPI assigned
Jan 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Dr. Scott P Rief, DCNPI 1982804456
Title
Owner
Phone
(308) 384-4955

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
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2457 33Rd Ave
Columbus, NE 68601-1309

Mailing address

2441 N Diers Ave
Grand Island, NE 68803-1240
Phone (308) 384-4955

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNE

Other names 1

  • Active Family Chiropractic & Acupuncture Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL activefamilycolumbus.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220208002821 NE Part B Supplier - Clinic/Group Practice 8921491267 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, NE

National Provider Directory

National Provider Directory

Locations

2457 33rd Ave
Ste D
Columbus, NE 68601
Phone (402) 265-6800

2441 N Diers Ave
Grand Island, NE 68803
Phone (308) 384-4955

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": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1295486587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 N DIERS AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031240",
            "telephone_number": "308-384-4955",
            "fax_number": "308-384-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 33RD AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011309",
            "telephone_number": "024-265-6800",
            "fax_number": "308-384-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLUXATION 3, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "RIEF",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-384-4955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "activefamilycolumbus.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2457 33rd Ave",
            "city": "Columbus",
            "state": "NE",
            "country_code": "US",
            "postal_code": "686011309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Active Family Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.