Organization Active NPI

Gordon Chiropractic, P.C.

  • Chiropractor
  • Gordon, NE
National Provider Identifier
1306883103
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1186 Issued in NE
Legal business name
GORDON CHIROPRACTIC, P.C.
Practice address
229 N Main St
Gordon, NE 69343-1277
Phone
(308) 282-1154
Fax
(308) 282-1156
NPI assigned
Jun 1, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. John Todd Freeseman, D.C.NPI 1710978887
Title
President/Executive Officer
Phone
(308) 282-1154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040608000581 NE Part B Supplier - Clinic/Group Practice 8527041912 Receives reassigned benefits from 1 practitioner
Practice locations: Gordon, NE

National Provider Directory

National Provider Directory

Locations

229 N Main St
Ste 1
Gordon, NE 69343
Phone (308) 282-1154

229 N Main St
Gordon, NE 69343
Phone (308) 207-2300

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 988 SD
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1186 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

229 N Main St
Gordon, NE 69343-1277

Mailing address

229 N Main St
Gordon, NE 69343-1277
Phone (308) 282-1154

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2018.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1306883103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431277",
            "telephone_number": "308-282-1154",
            "fax_number": "308-282-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431277",
            "telephone_number": "308-282-1154",
            "fax_number": "308-282-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "FREESEMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "308-282-1154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "988",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gordon, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.