NPIMap

Organization Active NPI

Candlewood Chiropractic Clinic P C

  • Medical Specialty Clinic/Center
  • Omaha, NE
National Provider Identifier
1457542193
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
882 Issued in NE
Legal business name
CANDLEWOOD CHIROPRACTIC CLINIC P C
Practice address
1808 N 120TH St
Omaha, NE 68154-1392
Phone
(402) 496-0147
Fax
(402) 496-4222
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Ray Klepinger, D.C.NPI 1568537041
Title
President
Phone
(402) 496-0147

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
Medical Specialty Clinic/Center 261QM2500X 882 NE Primary

Addresses

Primary practice location

1808 N 120TH St
Omaha, NE 68154-1392

Mailing address

1808 N 120TH St
Omaha, NE 68154-1392
Phone (402) 496-0147

Other identifiers 3

IdentifierTypeStateIssuer
4400633OtherNEAMERICHOICE
0005995064OtherNEAETNA
86489OtherNECOVENTRY HEALTHCARE OF NE

National Provider Directory

National Provider Directory

Locations

1808 N 120th St
Omaha, NE 68154
Phone (402) 496-0147

Practitioners & affiliated clinicians

Practitioners 4

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1457542193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541392",
            "telephone_number": "402-496-0147",
            "fax_number": "402-496-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541392",
            "telephone_number": "402-496-0147",
            "fax_number": "402-496-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLEWOOD CHIROPRACTIC CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KLEPINGER",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-496-0147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NE",
            "license": "882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "4400633",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005995064",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE OF NE",
            "identifier": "86489",
            "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 Apr 20, 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.