Individual provider Active NPI

Lukas Eugene Griess, D.C.

  • Chiropractor
  • Aurora, NE
National Provider Identifier
1639474802
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1650 Issued in NE
Practice address
207 S 16TH St Ste a
Aurora, NE 68818-3034
Phone
(402) 469-3710
Fax
(402) 694-0181
NPI assigned
Jan 20, 2011
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1650 NE Primary

Addresses

Primary practice location

207 S 16TH St Ste a
Aurora, NE 68818-3034

Mailing address

207 S 16TH St Ste a
Aurora, NE 68818-3034
Phone (402) 469-3710

Other identifiers 2

IdentifierTypeStateIssuer
NA1834OtherNEMEDICARE PTAN
10025934300OtherNEMEDICAID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000449 NE Practitioner - Chiropractic 9335322783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 S 16TH St
Suite a
Aurora, NE 68818-3034
Phone (402) 694-0181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Griess Chiropractic and Wellness Center, P.C. Chiropractor CurrentSince Feb 23, 2011 Accepting new patients

Locations

207 S 16th St
Ste A
Aurora, NE 68818
Phone (402) 469-3710

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1639474802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S 16TH ST STE A",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688183034",
            "telephone_number": "402-469-3710",
            "fax_number": "402-694-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S 16TH ST STE A",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688183034",
            "telephone_number": "402-469-3710",
            "fax_number": "402-694-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESS",
        "first_name": "LUKAS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-20",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NA1834",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "10025934300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.