Active Motion Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1545 Issued in NE

Legal business name

ACTIVE MOTION CHIROPRACTIC P.C.

Practice address

10815 Prairie Brook Rd
Omaha, NE 68144-4827

Phone

(402) 397-1800

NPI assigned

Apr 16, 2009

Organization subpart

No

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

• Tyler Anson Baker, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1134365851
  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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

Authorized official

Name

Dr. Tyler Anson Baker, D.C.NPI 1134365851

Title

President

Phone

(402) 397-1800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1306089651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 PRAIRIE BROOK RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444827",
            "telephone_number": "402-397-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 PRAIRIE BROOK RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444827",
            "telephone_number": "402-397-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MOTION CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "ANSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-397-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025728300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha June Acosta
• Melissa Acquazzino, M.D.
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• Active Hearing Health
• Active Solutions Chiropractic, P.C.
• Active Spine and Joint Chiropractic LLC
• Active Spine Physical Therapy, LLC
• Active Spine Physical Therapy, LLC
• Diana Acuna

• 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 Jun 21, 2013; 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.