Anderson Chiropractic and Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ANDERSON CHIROPRACTIC AND REHAB, LLC

Practice address

21015 Cumberland Dr Ste 201
Elkhorn, NE 68022-4110

Phone

(402) 932-5394

Fax

(402) 991-7671

NPI assigned

Jan 11, 2021

Last updated

Jan 11, 2021By 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

Jacob Anderson, DCNPI 1881281343

Title

Owner

Phone

(402) 651-0830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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.

• Jacob Joseph Anderson, DC

  • Chiropractor
  • Elkhorn, NE
  • NPI 1881281343
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1407445968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 SARATOGA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681342640",
            "telephone_number": "402-651-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21015 CUMBERLAND DR STE 201",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224110",
            "telephone_number": "402-932-5394",
            "fax_number": "402-991-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHIROPRACTIC AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-651-0830",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tera Michelle Alejandre
• Ayat K Alibraheemi
• Kimberly Alley-Wright
• Allison Allison
• Allure Family Eyecare LLC
• Jacob Joseph Anderson, DC
• Jadyn Anderson
• John C. Andresen, M.D.
• Angelic Care Services, LLC
• Theresa Jean Anson

• Chiropractor in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.