Gary D Haddock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1112 Issued in NE

Practice address

2085 N 120TH St Ste D10
Omaha, NE 68164-3480

Phone

(402) 397-3339

Fax

(402) 399-9271

NPI assigned

Jul 31, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Back to Back Chiropractic, LLC

  • Chiropractor
  • Omaha, NE
  • NPI 1013467737
  NPD
• Waddington Chiropractic LLC

  • Chiropractor
  • Omaha, NE
  • NPI 1932590627
  NPD
• Northwest Chiropractic P.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1023190154
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1649286758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 N 120TH ST STE D10",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643480",
            "telephone_number": "402-397-3339",
            "fax_number": "402-399-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 N 120TH ST STE D10",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643480",
            "telephone_number": "402-397-3339",
            "fax_number": "402-399-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOCK",
        "first_name": "GARY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36693",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rana Haddad, PHARM. D
• Toufik Mahfood Haddad, M.D
• Maen Haddadin, M.D.
• Michael Marwan Haddadin, MD
• Kyle Haddick
• Michaela June Haddock
• Stephanie Hadenfeldt
• Samantha Hadfield, LMHP
• Pobe Richard Hadinko
• Christina Nicole Hadley, APRN NP-C

• All providers in Omaha, NE
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.