Individual provider Active NPI

Justin Nielsen, DC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1447771050
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1939 Issued in NE
Practice address
5126 N 156TH St
Omaha, NE 68116-3226
Phone
(402) 614-7717
NPI assigned
Jul 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1939 NE Primary

Addresses

Primary practice location

5126 N 156TH St
Omaha, NE 68116-3226

Mailing address

5126 N 156TH St
Omaha, NE 68116-3226
Phone (402) 614-7717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1939NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Creek Chiropractic, P.C. Chiropractor CurrentSince Jul 24, 2022 Accepting new patients
Limato Family Chiropractic P.C. Chiropractor PastSince Jul 24, 2022 Accepting new patients

Locations

5126 N 156th St
Omaha, NE 68116
Phone (402) 614-7717

Organizations & group practices 2

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447771050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 N 156TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163226",
            "telephone_number": "402-614-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 N 156TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163226",
            "telephone_number": "402-614-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "JUSTIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 21, 2022; 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.