Active NPI
Denaeyer Chiropractic
- Chiropractor
- North Platte, NE
National Provider Identifier
1437295581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1355
- Legal business name
- DENAEYER CHIROPRACTIC
- Practice address
- 308 W 4TH St
North Platte, NE 69101-3828 - Phone
- (308) 532-0234
- Fax
- (308) 532-0370
- NPI assigned
- Jan 29, 2007
- 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. Stephanie Denaeyer, D.C.
- Title
- MBR Owner
- Phone
- (308) 532-0234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1355 | NE | Primary |
Addresses
Primary practice location
308 W 4TH St
North Platte, NE 69101-3828
Mailing address
308 W 4TH St
North Platte, NE 69101-3828
Phone (308) 532-0234
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09530 | Other | NE | BLUE CROSS BLUE SHIELD |
| P00304269 | Other | NE | R R MEDICARE |
| 100252297-00 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
308 W 4th St
North Platte, NE 69101
Phone (308) 532-0234
1717 E 4th St
North Platte, NE 69101
Phone (308) 520-7789
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- North Platte, NE
- NPI 1669630224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241395200000",
"number": "1437295581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 W 4TH ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691013828",
"telephone_number": "308-532-0234",
"fax_number": "308-532-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 W 4TH ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691013828",
"telephone_number": "308-532-0234",
"fax_number": "308-532-0370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENAEYER CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2009-05-04",
"status": "A",
"authorized_official_last_name": "DENAEYER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "MBR OWNER",
"authorized_official_telephone_number": "308-532-0234",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NE",
"license": "1355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09530",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R R MEDICARE",
"identifier": "P00304269",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100252297-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.