Jeffrey Alan Botz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

774 Issued in NE

Practice address

925 14TH St
Fairbury, NE 68352-1603

Phone

(402) 729-2213

Fax

(866) 500-2179

NPI assigned

Mar 8, 2006

Last updated

Feb 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1619944691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 14TH ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683521603",
            "telephone_number": "402-729-2213",
            "fax_number": "866-500-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 14TH ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683521603",
            "telephone_number": "402-729-2213",
            "fax_number": "866-500-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTZ",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47064896902",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL RAOD MEDICARE",
            "identifier": "350006640",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "235207",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09535",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kaitlin Bradley
• Chrissa Bridgmon
• Steve Michael Buck
• Donald W Call
• Kahla Chrisman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.