Superior Chiropractic & Acupuncture PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1227 Issued in NE

Legal business name

SUPERIOR CHIROPRACTIC & ACUPUNCTURE PC

Practice address

2500 Northview Rd
Ste 101
Lincoln, NE 68521-1228

Phone

(402) 438-3033

Fax

(402) 438-3034

NPI assigned

Jan 12, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paula Jo Wiese, D.C.NPI 1205920311

Title

President Owner

Phone

(402) 434-3033

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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.

• Paula Jo Wiese, D.C.

  • Chiropractor
  • Lincoln, NE
  • NPI 1205920311
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1619027380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NORTHVIEW RD",
            "address_2": "STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211228",
            "telephone_number": "402-438-3033",
            "fax_number": "402-438-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NORTHVIEW RD",
            "address_2": "STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211228",
            "telephone_number": "402-438-3033",
            "fax_number": "402-438-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CHIROPRACTIC & ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "402-434-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025326100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "246252",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "P00387560",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makena Marie Sundine, DDS
• Cassandra Jo Sundstrom
• Sunlight Support Inc
• Sunrise Therapy Services
• Super Starts Child Development Center
• Superior Eye Care P.C.
• Superior Family Dental
• Superior Medical Imaging, LLC
• Superior Street Family Physicians (Fallbrook Family Health Center)
• Supporting Lives in Nebraska, LLC

• Chiropractor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.