Organization Active NPI

Chiropractic Health Clinic of Millard PC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1639240351
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
782 Issued in NE
Legal business name
CHIROPRACTIC HEALTH CLINIC OF MILLARD PC
Practice address
2727 S 144TH St
Suite 230
Omaha, NE 68144-5225
Phone
(402) 778-5470
Fax
(402) 778-5471
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Dr. Andrea Marie Eiler, DCNPI 1205112349
Title
V President / Doctor
Phone
(402) 778-5470

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 782 NE Primary

Addresses

Primary practice location

2727 S 144TH St
Suite 230
Omaha, NE 68144-5225

Mailing address

2727 S 144TH St
Suite 230
Omaha, NE 68144-5225
Phone (402) 778-5470

Other identifiers 4

IdentifierTypeStateIssuer
4400188OtherUNITED HEALTHCARE
125329700OtherNEFEDERAL WORK COMP PROV #
36654OtherNEBLUE CROSS BLUE SHIELD
DN4652OtherRAILROAD MEDICARE

Other names 1

  • Chiropractic Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071108000283 NE Part B Supplier - Clinic/Group Practice 6305934308 Receives reassigned benefits from 3 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

2727 S 144th St
Ste 230
Omaha, NE 68144
Phone (402) 778-5470

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1639240351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST",
            "address_2": "SUITE 230",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445225",
            "telephone_number": "402-778-5470",
            "fax_number": "402-778-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST",
            "address_2": "SUITE 230",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445225",
            "telephone_number": "402-778-5470",
            "fax_number": "402-778-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CLINIC OF MILLARD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "EILER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "V PRESIDENT / DOCTOR",
        "authorized_official_telephone_number": "402-778-5470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400188",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORK COMP PROV #",
            "identifier": "125329700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36654",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN4652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 11, 2024; 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.