Active NPI
Rooted in Wellness Chiropractic LLC
- Chiropractor
- Lincoln, NE
National Provider Identifier
1528608957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1852 | Other | NE | CHIROPRACTIC LICENSE |
| 10026812400 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
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.