Individual provider Active NPI

Retha Mary Dougherty, DC

  • Chiropractor
  • Plainview, NE
National Provider Identifier
1447439971
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1483 Issued in NE
Practice address
106 S Maple St
Plainview, NE 68769-4124
Phone
(402) 582-4901
Fax
(402) 582-3901
NPI assigned
Nov 1, 2007
Last updated
Mar 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1483 NE Primary

Addresses

Primary practice location

106 S Maple St
Plainview, NE 68769-4124

Mailing address

106 S Maple St
Ste 100
Plainview, NE 68769-4154
Phone (402) 582-4901

Other identifiers 1

IdentifierTypeStateIssuer
10025575800MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080111000469 NE Practitioner - Chiropractic 3476634841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 S Maple St
Plainview, NE 68769-4153
Phone (402) 582-4901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1483NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Wellness Center Inc CurrentSince Nov 1, 2007 Accepting new patients

Locations

106 S Maple St
Plainview, NE 68769
Phone (402) 582-4901

106 S Maple St
Ste 100
Plainview, NE 68769
Phone (402) 582-4901

106 S Maple St
Ste 460
Plainview, NE 68769

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1447439971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MAPLE ST",
            "address_2": "STE 100",
            "city": "PLAINVIEW",
            "state": "NE",
            "postal_code": "687694154",
            "telephone_number": "402-582-4901",
            "fax_number": "402-582-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MAPLE ST",
            "city": "PLAINVIEW",
            "state": "NE",
            "postal_code": "687694124",
            "telephone_number": "402-582-4901",
            "fax_number": "402-582-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "RETHA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025575800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.

Verify at the official NPI Registry.