Omaha Central Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OMAHA CENTRAL CHIROPRACTIC LLC

Practice address

920 S 107TH Ave
Suite 109
Omaha, NE 68114-4719

Phone

(402) 835-5885

NPI assigned

Mar 28, 2017

Last updated

Mar 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamison Vanroekel, DCNPI 1730456419

Title

Owner

Phone

(402) 835-5885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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.

• Jamison Dean Vanroekel, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1730456419
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1356873673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S 107TH AVE",
            "address_2": "SUITE 109",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144719",
            "telephone_number": "402-835-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S 107TH AVE",
            "address_2": "SUITE 109",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144719",
            "telephone_number": "402-835-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA CENTRAL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "VANROEKEL",
        "authorized_official_first_name": "JAMISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-835-5885",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.