Active NPI
Joel Edwin Marley, D.C.
- Chiropractor
- Omaha, NE
National Provider Identifier
1376611582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 768-08-06
- Practice address
- 18025 Oak Drive Suite a
Omaha, NE 68130 - Phone
- (712) 420-1358
- NPI assigned
- Dec 4, 2006
- Last updated
- Nov 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 768-08-06 | NH | Primary |
Addresses
Primary practice location
18025 Oak Drive Suite a
Omaha, NE 68130
Mailing address
18025 Oak St
Suite a
Omaha, NE 68130-6093
Phone (402) 884-4100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025530400 | Medicaid | NE | |
| P00454939 | Other | NE | RAILROAD MEDICARE |
| 09713 | Other | NE | BC OF NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
18041 Oak St
Omaha, NE 68130-6093
Phone (402) 884-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Chiropractic L.L.C | Chiropractor | Current | Accepting new patients |
Locations
18025 Oak St
Ste A
Omaha, NE 68130
Phone (402) 671-0889
18041 Oak St
Omaha, NE 68130
Phone (402) 884-4100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Omaha, NE
- NPI 1497975775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226188800000",
"number": "1376611582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18025 OAK ST",
"address_2": "SUITE A",
"city": "OMAHA",
"state": "NE",
"postal_code": "681306093",
"telephone_number": "402-884-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18025 OAK DRIVE SUITE A",
"city": "OMAHA",
"state": "NE",
"postal_code": "68130",
"telephone_number": "712-420-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLEY",
"first_name": "JOEL",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2008-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "768-08-06",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025530400",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00454939",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OF NE",
"identifier": "09713",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.