Active NPI
Jonathan B Callahan, D.C.
- Chiropractor
- York, NE
National Provider Identifier
1447276134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 804
- Practice address
- 1100 N Lincoln Ave
Suite a
York, NE 68467-1720 - Phone
- (402) 362-3251
- Fax
- (402) 362-1413
- NPI assigned
- Jul 14, 2006
- Last updated
- Jul 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 804 | NE | Primary |
Addresses
Primary practice location
1100 N Lincoln Ave
Suite a
York, NE 68467-1720
Mailing address
1100 N Lincoln Ave
Suite a
York, NE 68467-1720
Phone (402) 362-3251
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09629 | Other | NE | BCBS NEBRASKA |
| 47067381001 | Medicaid | NE | |
| 8926 | Other | NE | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080723000857 | NE | Practitioner - Chiropractic | 0244303295 | Practice locations: York, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1100 N Lincoln Ave a
York, NE 68467-1743
Phone (402) 362-3251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 804 | NE | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1447276134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N LINCOLN AVE",
"address_2": "SUITE A",
"city": "YORK",
"state": "NE",
"postal_code": "684671720",
"telephone_number": "402-362-3251",
"fax_number": "402-362-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N LINCOLN AVE",
"address_2": "SUITE A",
"city": "YORK",
"state": "NE",
"postal_code": "684671720",
"telephone_number": "402-362-3251",
"fax_number": "402-362-1413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "JONATHAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NEBRASKA",
"identifier": "09629",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47067381001",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "8926",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.