NPIMap

Organization Active NPI

McKillican Chiropractic Clinic PC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1447415088
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1139 Issued in NE
Legal business name
MCKILLICAN CHIROPRACTIC CLINIC PC
Practice address
5660 N 103Rd St
Omaha, NE 68134-1007
Phone
(402) 493-4333
Fax
(402) 493-4334
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Eric Jon McKillican, D,C,
Title
Doctor of Chiropractic/ Owner
Phone
(402) 493-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1139 NE Primary

Addresses

Primary practice location

5660 N 103Rd St
Omaha, NE 68134-1007

Mailing address

5660 N 103Rd St
Omaha, NE 68134-1007
Phone (402) 493-4333

Other identifiers 1

IdentifierTypeStateIssuer
99501OtherNEBC/BS

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1447415088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 N 103RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341007",
            "telephone_number": "402-493-4333",
            "fax_number": "402-493-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 N 103RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341007",
            "telephone_number": "402-493-4333",
            "fax_number": "402-493-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKILLICAN CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "MCKILLICAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/ OWNER",
        "authorized_official_telephone_number": "402-493-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "99501",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 23, 2008; 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.