Individual provider Active NPI

Lacey Ann Mink, D.C.

  • Chiropractor
  • Ashland, NE
National Provider Identifier
1497008346
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1736 Issued in NE
Practice address
1409 Silver St
Ashland, NE 68003-1845
Phone
(402) 322-0098
NPI assigned
Oct 16, 2012
Last updated
Dec 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1736 NE Primary

Addresses

Primary practice location

1409 Silver St
Ashland, NE 68003-1845

Mailing address

27100 Ranch Rd
Ashland, NE 68003-3514
Phone (402) 322-0098

Other names 1

  • Dr. Lacey Ann Perrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121107000485 NE Practitioner - Chiropractic 2062663651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1427 Silver St
Ashland, NE 68003-1845
Phone (402) 521-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1736NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Solutions LLC Chiropractor CurrentSince Dec 20, 2015 Accepting new patients
Green Chiropractic PC Chiropractor Past Accepting new patients

Locations

1409 Silver St
Ashland, NE 68003
Phone (402) 521-2277

1427 Silver St
Ashland, NE 68003
Phone (402) 521-2277

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1497008346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27100 RANCH RD",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680033514",
            "telephone_number": "402-322-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 SILVER ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031845",
            "telephone_number": "402-322-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINK",
        "first_name": "LACEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "PERRETT",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.

Verify at the official NPI Registry.