NPIMap

Organization Active NPI

Hiebner Chiropractic Clinic, P.C.

  • Chiropractor
  • Gothenburg, NE
National Provider Identifier
1356651483
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1061 Issued in NE
Legal business name
HIEBNER CHIROPRACTIC CLINIC, P.C.
Practice address
815 Lake Ave
Gothenburg, NE 69138-1943
Phone
(308) 537-3691
Fax
(308) 537-3691
NPI assigned
Oct 7, 2010
Last updated
Feb 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Dr. Royce Lydell Hiebner, D.C.NPI 1790887917
Title
President
Phone
(308) 537-3691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1061 NE Primary

Addresses

Primary practice location

815 Lake Ave
Gothenburg, NE 69138-1943

Mailing address

815 Lake Ave
Gothenburg, NE 69138-1943
Phone (308) 537-3691

Other identifiers 6

IdentifierTypeStateIssuer
11576OtherNEMIDLANDS CHOICE
350053505OtherNEMEDICARE RAILROAD
62308OtherCIGNA HEALTHCARE
87042OtherNEUPREHS
87726OtherUNITED HEALTH CARE
9812OtherNEBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1356651483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LAKE AVE",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691381943",
            "telephone_number": "308-537-3691",
            "fax_number": "308-537-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LAKE AVE",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691381943",
            "telephone_number": "308-537-3691",
            "fax_number": "308-537-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIEBNER CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "HIEBNER",
        "authorized_official_first_name": "ROYCE",
        "authorized_official_middle_name": "LYDELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-537-3691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "11576",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "350053505",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "62308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPREHS",
            "identifier": "87042",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "87726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9812",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gothenburg, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.