Organization Active NPI

Fremont Chiropractic Clinic PC

  • Clinic/Center
  • Fremont, NE
National Provider Identifier
1356664072
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1431 Issued in NE
Legal business name
FREMONT CHIROPRACTIC CLINIC PC
Practice address
415 E 23Rd St
Suite 201
Fremont, NE 68025-2393
Phone
(402) 727-7219
Fax
(402) 727-7369
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Dr. Jerusha Ann Franzluebbers, D.C.NPI 1720125503
Title
President
Phone
(402) 727-7219

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
Clinic/Center 261Q00000X 1431 NE Primary

Addresses

Primary practice location

415 E 23Rd St
Suite 201
Fremont, NE 68025-2393

Mailing address

PO Box 1665
Fremont, NE 68026-1665
Phone (402) 727-7219

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000956 NE Part B Supplier - Clinic/Group Practice 1052449360 Receives reassigned benefits from 2 practitioners
Practice locations: Fremont, NE

National Provider Directory

National Provider Directory

Locations

1920 N Bell St
Fremont, NE 68025
Phone (402) 721-5500

1152 E 16th St
Ste 2
Fremont, NE 68025
Phone (402) 727-7219

415 E 23rd St
Ste 201
Fremont, NE 68025
Phone (402) 727-7219

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1356664072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1665",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680261665",
            "telephone_number": "402-727-7219",
            "fax_number": "402-727-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 23RD ST",
            "address_2": "SUITE 201",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252393",
            "telephone_number": "402-727-7219",
            "fax_number": "402-727-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "FRANZLUEBBERS",
        "authorized_official_first_name": "JERUSHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-727-7219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "1431",
            "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 Apr 1, 2015; 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.