NPIMap

Organization Active NPI

Wayne Sport and Spine, PC

  • Medical Specialty Clinic/Center
  • Wayne, NE
National Provider Identifier
1376851212
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1065 Issued in NE
Legal business name
WAYNE SPORT AND SPINE, PC
Practice address
214 N Pearl St
Wayne, NE 68787-1902
Phone
(402) 375-3000
Fax
(402) 375-1866
NPI assigned
Sep 14, 2010
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Robert Kevin Krugman, D.C.NPI 1124120464
Title
Chiropractor
Phone
(402) 375-3000

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
Medical Specialty Clinic/Center 261QM2500X 1065 NE Primary

Addresses

Primary practice location

214 N Pearl St
Wayne, NE 68787-1902

Mailing address

214 N Pearl St
Wayne, NE 68787-1902
Phone (402) 375-3000

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": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1376851212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N PEARL ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871902",
            "telephone_number": "402-375-3000",
            "fax_number": "402-375-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N PEARL ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871902",
            "telephone_number": "402-375-3000",
            "fax_number": "402-375-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE SPORT AND SPINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "KRUGMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "402-375-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NE",
            "license": "1065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.