Individual provider Active NPI

Nicholas Jacob Snyder, D.C.

  • Chiropractor
  • La Vista, NE
National Provider Identifier
1649229659
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1515 Issued in NE
Practice address
7202 Giles Rd
Suite 7
La Vista, NE 68128-6000
Phone
(402) 932-6006
Fax
(402) 504-6217
NPI assigned
May 8, 2006
Last updated
Sep 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1515 NE Primary
Chiropractor 111N00000X 06874 IA

Addresses

Primary practice location

7202 Giles Rd
Suite 7
La Vista, NE 68128-6000

Mailing address

7202 Giles Rd
Suite 7
La Vista, NE 68128-6000
Phone (402) 932-6006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080714000539 NE Practitioner - Chiropractic 0143230896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicholas Snyder DC PCGroup PAC ID 1254505993, 2 clinicians

Practice addresses (Care Compare)

7202 Giles Rd
Suite 7
La Vista, NE 68128-6000
Phone (402) 932-6006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1515NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Snyder, D.C., P.C. Chiropractor CurrentSince Oct 7, 2011 Accepting new patients
Mouw Chiropractic & Spinal Rehabilitation Center, P.C. Chiropractor PastSince Dec 1, 2004 Accepting new patients
Lavista Chiropractic and Wellness Center, P.C. Chiropractor PastSince Oct 7, 2011 Accepting new patients

Locations

7202 Giles Rd
Ste 7
Lavista, NE 68128
Phone (402) 932-6006

Organizations & group practices 3

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1649229659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GILES RD",
            "address_2": "SUITE 7",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681286000",
            "telephone_number": "402-932-6006",
            "fax_number": "402-504-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 GILES RD",
            "address_2": "SUITE 7",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681286000",
            "telephone_number": "402-932-6006",
            "fax_number": "402-504-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "NICHOLAS",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1515",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.