Organization Active NPI

Saunders County Chiropractic & Acupuncture, PC

  • Chiropractor
  • Wahoo, NE
National Provider Identifier
1417345281
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1763 Issued in NE
Legal business name
SAUNDERS COUNTY CHIROPRACTIC & ACUPUNCTURE, PC
Practice address
260 W 6TH St Ste 1
Wahoo, NE 68066-1678
Phone
(402) 957-3815
NPI assigned
Jan 2, 2015
Last updated
Jan 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Dr. Paul C Sutton, D.C.NPI 1790117380
Title
Owner
Phone
(402) 957-3815

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1763 NE Primary

Addresses

Primary practice location

260 W 6TH St Ste 1
Wahoo, NE 68066-1678

Mailing address

260 W 6TH St Ste 1
Wahoo, NE 68066-1678
Phone (402) 957-3815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150303001622 NE Part B Supplier - Clinic/Group Practice 6608192950 Receives reassigned benefits from 2 practitioners
Practice locations: Wahoo, NE

National Provider Directory

National Provider Directory

Locations

260 W 6th St
Ste 1
Wahoo, NE 68066
Phone (402) 277-7180

Practitioners & affiliated clinicians

Practitioners 2

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": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1417345281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W 6TH ST STE 1",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661678",
            "telephone_number": "402-957-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W 6TH ST STE 1",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661678",
            "telephone_number": "402-957-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUNDERS COUNTY CHIROPRACTIC & ACUPUNCTURE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-957-3815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahoo, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.