Active NPI
Advanced Chiropractic & Neurology, PC
- Neurology Chiropractor
- La Vista, NE
National Provider Identifier
1467603464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- Legal business name
- ADVANCED CHIROPRACTIC & NEUROLOGY, PC
- Practice address
- 12040 McDermott PLZ
Ste 320
La Vista, NE 68128-2354 - Phone
- (402) 597-2869
- Fax
- (402) 597-2536
- NPI assigned
- Oct 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John W McClaren, D.C., DACNB
- Title
- President
- Phone
- (402) 597-2869
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | Primary |
Addresses
Primary practice location
12040 McDermott PLZ
Ste 320
La Vista, NE 68128-2354
Mailing address
12040 McDermott PLZ
Ste 320
La Vista, NE 68128-2354
Phone (402) 597-2869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8825 S 117th St
La Vista, NE 68128
Phone (402) 597-2869
12040 McDermott Plz
Ste 320
Lavista, NE 68128
Phone (402) 597-2869
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Chiropractor
- La Vista, NE
- NPI 1104046945
-
- Chiropractor
- Omaha, NE
- NPI 1669543351
-
- Occupational Therapist
- Grand Island, NE
- NPI 1730376146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470787200000",
"number": "1467603464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12040 MCDERMOTT PLZ",
"address_2": "STE 320",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681282354",
"telephone_number": "402-597-2869",
"fax_number": "402-597-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12040 MCDERMOTT PLZ",
"address_2": "STE 320",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681282354",
"telephone_number": "402-597-2869",
"fax_number": "402-597-2536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CHIROPRACTIC & NEUROLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-08",
"last_updated": "2016-08-10",
"status": "A",
"authorized_official_last_name": "MCCLAREN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-597-2869",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C., DACNB"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.