Active NPI
Brenton Thomas & Associates LLC
Doing business as Miracle Hills Chiropractic
- Chiropractor
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1651
- Legal business name
- BRENTON THOMAS & ASSOCIATES LLC
- Doing business as
- Miracle Hills Chiropractic
- Practice address
- 5421 N 103Rd St
Suite 200
Omaha, NE 68134-1000 - Phone
- (402) 350-4030
- Fax
- (402) 493-1755
- NPI assigned
- Sep 6, 2011
- Last updated
- Mar 19, 2014
- 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
- Dr. Brenton J Thomas, DC
- Title
- Owner
- Phone
- (402) 905-2571
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1651 | NE | Primary |
Addresses
Primary practice location
5421 N 103Rd St
Suite 200
Omaha, NE 68134-1000
Mailing address
625 N 114TH St
Omaha, NE 68154-1514
Phone (402) 905-2571
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099151003 | Other | NE | MEDICARE PTAN |
| 50813318700 | Medicaid | NE |
Other names 1
- Miracle Hills Chiropractic
National Provider Directory
National Provider DirectoryLocations
625 N 114th St
Omaha, NE 68154
Phone (402) 201-2920
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.
-
- Chiropractor
- Omaha, NE
- NPI 1700105772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395187200000",
"number": "1427339357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 N 114TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541514",
"telephone_number": "402-905-2571",
"fax_number": "402-682-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5421 N 103RD ST",
"address_2": "SUITE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681341000",
"telephone_number": "402-350-4030",
"fax_number": "402-493-1755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENTON THOMAS & ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-06",
"last_updated": "2014-03-19",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "BRENTON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-905-2571",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NE",
"license": "1651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "099151003",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50813318700",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Miracle Hills Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.