Organization Active NPI

Omaha Center for Pain and Chronic Conditions LLC

  • Chiropractor
  • Blair, NE
National Provider Identifier
1467859009
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1776 Issued in NE
Legal business name
OMAHA CENTER FOR PAIN AND CHRONIC CONDITIONS LLC
Doing business as
Omaha Chronic Conditions Center
Practice address
1526 Washington St Ste a
Blair, NE 68008-1600
Phone
(402) 690-4570
NPI assigned
Nov 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Daniel Smith, DC
Title
Owner
Phone
(402) 690-4570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1776 NE Primary

Addresses

Primary practice location

1526 Washington St Ste a
Blair, NE 68008-1600

Mailing address

1526 Washington St Ste a
Blair, NE 68008-1600
Phone (402) 690-4570

Other names 1

  • Omaha Chronic Conditions Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Omaha Center for Pain and Chronic Conditions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1526 Washington St
Ste A
Blair, NE 68008
Phone (402) 426-9211

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1467859009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 WASHINGTON ST STE A",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081600",
            "telephone_number": "402-690-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 WASHINGTON ST STE A",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081600",
            "telephone_number": "402-690-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA CENTER FOR PAIN AND CHRONIC CONDITIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-690-4570",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omaha Chronic Conditions Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blair, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.