Revive Precision Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1861 Issued in NE

Legal business name

REVIVE PRECISION CHIROPRACTIC, LLC

Practice address

15514 Spaulding PLZ Ste D06
Omaha, NE 68116-6287

Phone

(402) 681-8638

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Megan Ellwanger, DC

Title

Owner

Phone

(402) 965-1895

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1649728908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15514 SPAULDING PLZ STE D06",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681166287",
            "telephone_number": "402-681-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15514 SPAULDING PLZ STE D06",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681166287",
            "telephone_number": "402-681-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE PRECISION CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "ELLWANGER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-965-1895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Revielle, DDS
• Revision Psychotherapy LLC
• Revitalize Chiropractic LLC
• Revival Home Care
• Revive Counseling LLC
• Stephanie Rexroat
• Catalina Nadine Rey, M.S., BCBA
• Lar Rey
• Javier Reyes Corona
• Jose Reyes Morales

• Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.