Organization Active NPI

Kenneth L. Mahnke D.C.,P.a.

  • Chiropractor
  • Fremont, NE
National Provider Identifier
1346432242
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
616 Issued in NE
Legal business name
KENNETH L. MAHNKE D.C.,P.A.
Practice address
748 E Military Ave
Fremont, NE 68025-5183
Phone
(402) 721-2818
Fax
(402) 721-9481
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Kenneth L. Mahnke, D.C.,P.A.
Title
DC/Owner
Phone
(402) 721-2818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 616 NE Primary

Addresses

Primary practice location

748 E Military Ave
Fremont, NE 68025-5183

Mailing address

748 E Military Ave
Fremont, NE 68025-5183
Phone (402) 721-2818

National Provider Directory

National Provider Directory

Locations

2127 E 23rd Ave S
Fremont, NE 68025
Phone (402) 403-1154

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1346432242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255183",
            "telephone_number": "402-721-2818",
            "fax_number": "402-721-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255183",
            "telephone_number": "402-721-2818",
            "fax_number": "402-721-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L. MAHNKE D.C.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "MAHNKE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "402-721-2818",
        "authorized_official_credential": "D.C.,P.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.