Active NPI
Northeast Nebraska Pain Medicine LLC
- Pain Medicine Physician
- Norfolk, NE
National Provider Identifier
1417257403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- NORTHEAST NEBRASKA PAIN MEDICINE LLC
- Practice address
- 1414 N 13TH St
Norfolk, NE 68701-2669 - Phone
- (402) 316-4027
- Fax
- (402) 316-3469
- NPI assigned
- Oct 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher E Price, MD
- Title
- Owner
- Phone
- (402) 644-7506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
1414 N 13TH St
Norfolk, NE 68701-2669
Mailing address
PO Box 5126
Sioux Falls, SD 57117-5126
Phone (605) 335-1952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025914600 | Medicaid | NE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449705600000",
"number": "1417257403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5126",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175126",
"telephone_number": "605-335-1952",
"fax_number": "605-373-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 N 13TH ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687012669",
"telephone_number": "402-316-4027",
"fax_number": "402-316-3469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST NEBRASKA PAIN MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-25",
"last_updated": "2015-12-10",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-644-7506",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025914600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, NE
- Northeast Nebraska Area Agency on Aging
- Northeast Nebraska Cardiology Consultants P C
- Northeast Nebraska Chiropractic Associates, LLC (Davis & Kassmeier Chiropractic Center / Stover Chiropractic Clinic)
- Northeast Nebraska Imaging Center, LLC
- Northeast Nebraska LTC, LLC
- Northeast Nebraska Surgery Center LLC (Faith Regional Surgery Center)
- Northland Hearing Centers, Inc. (Sound Decision Hearing Center)
- Afua Duker Ntem-Mensah, M.D.
- Nancy Nunez
- Jose Luis Nuno, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.