Organization Active NPI

Nebraska Chiropractic and Wellness Center, Inc

  • Chiropractor
  • Bellevue, NE
National Provider Identifier
1447456595
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1307 Issued in NE
Legal business name
NEBRASKA CHIROPRACTIC AND WELLNESS CENTER, INC
Practice address
2212 Avery Rd E
Bellevue, NE 68005-4643
Phone
(402) 934-1622
Fax
(402) 934-1624
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank Thomas O'Neill, D.C.NPI 1821185547
Title
Clinic Director
Phone
(402) 934-1622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1307 NE Primary

Addresses

Primary practice location

2212 Avery Rd E
Bellevue, NE 68005-4643

Mailing address

2212 Avery Rd E
Bellevue, NE 68005-4643
Phone (402) 934-1622

Other identifiers 2

IdentifierTypeStateIssuer
1257840MedicaidIA
10025355800MedicaidNE

National Provider Directory

National Provider Directory

Locations

2212 Avery Rd E
Bellevue, NE 68005
Phone (402) 934-1622

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447456595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 AVERY RD E",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054643",
            "telephone_number": "402-934-1622",
            "fax_number": "402-934-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 AVERY RD E",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054643",
            "telephone_number": "402-934-1622",
            "fax_number": "402-934-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA CHIROPRACTIC AND WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "402-934-1622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1257840",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025355800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.