Active NPI
Patrick John Friend, D.C.
- Chiropractor
- Omaha, NE
National Provider Identifier
1477628683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1164
- Practice address
- 3525 N 147TH St Ste 205
Omaha, NE 68116-8262 - Phone
- (402) 491-4087
- Fax
- (402) 491-4091
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1164 | NE | Primary |
Addresses
Primary practice location
3525 N 147TH St Ste 205
Omaha, NE 68116-8262
Mailing address
3525 N 147TH St Ste 205
Omaha, NE 68116-8262
Phone (402) 491-4087
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36607 | Other | NE | BLUE CROSS BLUE SHIELD |
| 47081359900 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13808 W Maple Rd
Suite 116
Omaha, NE 68164-6231
Phone (402) 491-4087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1164 | NE | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Run Chiropractic, P.C. | Current | Accepting new patients |
Locations
13808 W Maple Rd
Ste 116
Omaha, NE 68164
Phone (402) 491-4087
13808 W Maple Rd
#116
Omaha, NE 68164
Phone (402) 491-4087
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Omaha, NE
- NPI 1003184045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1477628683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 N 147TH ST STE 205",
"city": "OMAHA",
"state": "NE",
"postal_code": "681168262",
"telephone_number": "402-491-4087",
"fax_number": "402-491-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 N 147TH ST STE 205",
"city": "OMAHA",
"state": "NE",
"postal_code": "681168262",
"telephone_number": "402-491-4087",
"fax_number": "402-491-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEND",
"first_name": "PATRICK",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "36607",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47081359900",
"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 Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.