Organization Active NPI

Choice Care Chiropractic, P.C.

  • Chiropractor
  • Grand Island, NE
National Provider Identifier
1417164625
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1234 Issued in NE
Legal business name
CHOICE CARE CHIROPRACTIC, P.C.
Practice address
2222 W 2ND St
Grand Island, NE 68803-5312
Phone
(308) 398-1900
Fax
(308) 398-1901
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Ryan T Waind, D.C.NPI 1255389441
Title
President
Phone
(308) 398-1900

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1234 NE Primary

Addresses

Primary practice location

2222 W 2ND St
Grand Island, NE 68803-5312

Mailing address

2222 W 2ND St
Grand Island, NE 68803-5312
Phone (308) 398-1900

Other identifiers 1

IdentifierTypeStateIssuer
99593OtherNEBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111207000064 NE Part B Supplier - Clinic/Group Practice 8123293966 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Island, NE

National Provider Directory

National Provider Directory

Locations

2222 W 2nd St
Grand Island, NE 68803
Phone (308) 398-1900

603 S Webb Rd
Ste A
Grand Island, NE 68803
Phone (308) 398-1900

Practitioners & affiliated clinicians

Practitioners 2

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1417164625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W 2ND ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035312",
            "telephone_number": "308-398-1900",
            "fax_number": "308-398-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W 2ND ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035312",
            "telephone_number": "308-398-1900",
            "fax_number": "308-398-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE CARE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "WAIND",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-398-1900",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "99593",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.