Organization Active NPI

Denaeyer Chiropractic

  • Chiropractor
  • North Platte, NE
National Provider Identifier
1437295581
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1355 Issued in NE
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

Updated by the provider on May 4, 2009

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
09530OtherNEBLUE CROSS BLUE SHIELD
P00304269OtherNER R MEDICARE
100252297-00MedicaidNE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.