NPIMap

Organization Active NPI

Hastings Family Chiropractic, P.C.

  • Chiropractor
  • Hastings, NE
National Provider Identifier
1639355860
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1194 Issued in NE
Legal business name
HASTINGS FAMILY CHIROPRACTIC, P.C.
Practice address
208 S Burlington Ave
Suite 110
Hastings, NE 68901-5904
Phone
(402) 463-1955
Fax
(402) 463-0053
NPI assigned
Jan 17, 2008
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Troy Eugene Wilson, D.C.NPI 1437237310
Title
Chiropractic Physician
Phone
40246319055

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 1194 NE Primary

Addresses

Primary practice location

208 S Burlington Ave
Suite 110
Hastings, NE 68901-5904

Mailing address

208 S Burlington Ave
Suite 110
Hastings, NE 68901-5904
Phone (402) 463-1955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080404000814 NE Part B Supplier - Clinic/Group Practice 8426135153 Receives reassigned benefits from 2 practitioners
Practice locations: Hastings, NE

National Provider Directory

National Provider Directory

Locations

208 S Burlington Ave
Ste 110
Hastings, NE 68901
Phone (402) 463-1955

Practitioners & affiliated clinicians

Practitioners 3

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1639355860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S BURLINGTON AVE",
            "address_2": "SUITE 110",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015904",
            "telephone_number": "402-463-1955",
            "fax_number": "402-463-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S BURLINGTON AVE",
            "address_2": "SUITE 110",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015904",
            "telephone_number": "402-463-1955",
            "fax_number": "402-463-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "40246319055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.