Active NPI
Jeffrey Wayne Freeman, DC
- Chiropractor
- Lincoln, NE
National Provider Identifier
1578645479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 837
- Practice address
- 2640 E St
Lincoln, NE 68510 - Phone
- (402) 475-2083
- Fax
- (402) 475-2086
- NPI assigned
- Oct 19, 2006
- Last updated
- Aug 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 837 | NE | Primary |
Addresses
Primary practice location
2640 E St
Lincoln, NE 68510
Mailing address
7533 Stevens Ridge Rd
Lincoln, NE 68516
Phone (402) 484-8641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NE2805837 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101028000139 | NE | Practitioner - Chiropractic | 2264626803 | Practice locations: Lincoln, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2640 E St
Lincoln, NE 68510-3120
Phone (402) 475-2083
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 837 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peterson Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1578645479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7533 STEVENS RIDGE RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68516",
"telephone_number": "402-484-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 E ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68510",
"telephone_number": "402-475-2083",
"fax_number": "402-475-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JEFFREY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NE2805837",
"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 Aug 24, 2010; 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.