Organization Active NPI

Seim Chiropractic & Wellness, LLC

  • Chiropractor
  • Elkhorn, NE
National Provider Identifier
1588938047
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1621 Issued in NE
Legal business name
SEIM CHIROPRACTIC & WELLNESS, LLC
Practice address
19115 Mason PLZ
Elkhorn, NE 68022-5659
Phone
(402) 540-1724
Fax
(888) 792-9734
NPI assigned
Mar 1, 2012
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Jackson A Seim, DCNPI 1164791208
Title
Owner
Phone
(402) 540-1724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1621 NE Primary

Addresses

Primary practice location

19115 Mason PLZ
Elkhorn, NE 68022-5659

Mailing address

19115 Mason PLZ
Elkhorn, NE 68022-5659
Phone (402) 540-1724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140417000972 NE Part B Supplier - Clinic/Group Practice 6002048477 Receives reassigned benefits from 1 practitioner
Practice locations: Elkhorn, NE

National Provider Directory

National Provider Directory

Locations

19115 Mason Plz
Elkhorn, NE 68022
Phone (402) 540-1724

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1588938047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19115 MASON PLZ",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225659",
            "telephone_number": "402-540-1724",
            "fax_number": "888-792-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19115 MASON PLZ",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225659",
            "telephone_number": "402-540-1724",
            "fax_number": "888-792-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIM CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "SEIM",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-540-1724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.