Organization Active NPI

Brenton Thomas & Associates LLC

Doing business as Miracle Hills Chiropractic

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1427339357
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1651 Issued in NE
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Dr. Brenton J Thomas, DCNPI 1700105772
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
099151003OtherNEMEDICARE PTAN
50813318700MedicaidNE

Other names 1

  • Miracle Hills Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.