NPIMap

Organization Active NPI

Wolf Chiropractic Clinic P.C.

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1326361361
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
887 Issued in NE
Legal business name
WOLF CHIROPRACTIC CLINIC P.C.
Practice address
2610 2ND Ave
Kearney, NE 68847-4417
Phone
(308) 236-7772
Fax
(308) 234-2053
NPI assigned
Mar 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Dr. Jeffery Byron Wolf, D.C.NPI 1962593491
Title
Owner
Phone
(308) 236-7772

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 SINGLE SPECIALTY GROUP 111N00000X 887 NE Primary

Addresses

Primary practice location

2610 2ND Ave
Kearney, NE 68847-4417

Mailing address

2610 2ND Ave
Kearney, NE 68847-4417
Phone (308) 236-7772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100619000057 NE Part B Supplier - Clinic/Group Practice 0840320792 Receives reassigned benefits from 2 practitioners
Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Locations

2610 2nd Ave
Kearney, NE 68847
Phone (308) 236-7772

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1326361361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474417",
            "telephone_number": "308-236-7772",
            "fax_number": "308-234-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474417",
            "telephone_number": "308-236-7772",
            "fax_number": "308-234-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-236-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.