NPIMap

Organization Active NPI

Family First Chiropractic L.L.C

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1497975775
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1458 Issued in NE
Legal business name
FAMILY FIRST CHIROPRACTIC L.L.C
Practice address
18025 Oak St. Suite a
Omaha, NE 68130
Phone
(402) 884-4100
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Joel Edwin Marley, D.CNPI 1376611582
Title
Chiropractor
Phone
(402) 884-4100

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1458 NE Primary

Addresses

Primary practice location

18025 Oak St. Suite a
Omaha, NE 68130

Mailing address

18025 Oak St
#A
Omaha, NE 68130-6093
Phone (402) 884-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070611000538 NE Part B Supplier - Clinic/Group Practice 6709984024 Receives reassigned benefits from 3 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

18041 Oak St
Omaha, NE 68130
Phone (402) 884-4100

18025 Oak St
Ste A
Omaha, NE 68130
Phone (402) 671-0889

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": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1497975775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18025 OAK ST",
            "address_2": "#A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306093",
            "telephone_number": "402-884-4100",
            "fax_number": "402-884-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18025 OAK ST. SUITE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68130",
            "telephone_number": "402-884-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST CHIROPRACTIC L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MARLEY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "402-884-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1458",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 18, 2007; 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.

Verify at the official NPI Registry.