Organization Active NPI

Elite Family Chiropractic

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1588067698
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1799 Issued in NE
Legal business name
ELITE FAMILY CHIROPRACTIC
Practice address
10208 S 168TH Ave
Suite 4
Omaha, NE 68136-4185
Phone
(620) 330-6602
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Vanessa K. Green, D.C.
Title
Owner
Phone
(620) 330-6602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1799 NE Primary

Addresses

Primary practice location

10208 S 168TH Ave
Suite 4
Omaha, NE 68136-4185

Mailing address

10208 S 168TH Ave
Suite 4
Omaha, NE 68136-4185

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1588067698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 S 168TH AVE",
            "address_2": "SUITE 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681364185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 S 168TH AVE",
            "address_2": "SUITE 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681364185",
            "telephone_number": "620-330-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-330-6602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1799",
            "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 2, 2014; 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.