Nicholas Layne Mullanix, D.C.
Individual provider Active NPI Chiropractor · Creighton, NE
NPI 1528297553 · NPPES record last updated Mar 31, 2016
Key facts
- NPI
- 1528297553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1575 (NE)
- Practice address
- 807 Main St
Creighton, NE 68729-4003 - Phone
- (402) 358-3256
- Fax
- (402) 358-3256
- NPI assigned
- Jul 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
807 Main St
Creighton, NE 68729-4003
Phone (402) 358-3256
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090811000425 | NE | Practitioner - Chiropractic | 8820142896 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1575 | NE | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1575 | NE | Yes |
Addresses
Primary practice location
807 Main St
Creighton, NE 68729-4003
Mailing address
807 Main St
P.O. Box 162
Creighton, NE 68729-4003
Phone (402) 358-3256
Other providers in Creighton, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.