Organization Active NPI

Midwest Chiropractic Center, P.C.

  • Chiropractor
  • Norfolk, NE
National Provider Identifier
1619157674
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1056 Issued in NE
Legal business name
MIDWEST CHIROPRACTIC CENTER, P.C.
Practice address
407 S 17TH St
Norfolk, NE 68701-4724
Phone
(402) 379-4870
Fax
(402) 379-0204
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Alesa Jo Melcher, D.C.NPI 1508925512
Title
President
Phone
(402) 379-4870

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1056 NE Primary

Addresses

Primary practice location

407 S 17TH St
Norfolk, NE 68701-4724

Mailing address

407 S 17TH St
Norfolk, NE 68701-4724
Phone (402) 379-4870

Other identifiers 1

IdentifierTypeStateIssuer
09815OtherNEBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

407 S 17th St
Norfolk, NE 68701
Phone (402) 379-4870

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1619157674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S 17TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014724",
            "telephone_number": "402-379-4870",
            "fax_number": "402-379-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S 17TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014724",
            "telephone_number": "402-379-4870",
            "fax_number": "402-379-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MELCHER",
        "authorized_official_first_name": "ALESA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-379-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09815",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.