Organization Active NPI

Rooted in Wellness Chiropractic LLC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1528608957
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROOTED IN WELLNESS CHIROPRACTIC LLC
Practice address
5600 S 59TH St Ste 103
Lincoln, NE 68516-2387
Phone
(402) 580-8571
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Dr. Molly M Tillman, DC
Title
Owner
Phone
(913) 609-1227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5600 S 59TH St Ste 103
Lincoln, NE 68516-2387

Mailing address

5600 S 59TH St Ste 103
Lincoln, NE 68516-2387
Phone (402) 580-8571

Other identifiers 2

IdentifierTypeStateIssuer
1852OtherNECHIROPRACTIC LICENSE
10026812400MedicaidNE

National Provider Directory

National Provider Directory

Locations

5600 S 59th St
Ste 103
Lincoln, NE 68516
Phone (402) 580-8571

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1528608957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 S 59TH ST STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162387",
            "telephone_number": "402-580-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 S 59TH ST STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162387",
            "telephone_number": "402-580-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED IN WELLNESS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-609-1227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "1852",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026812400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.