Individual provider Active NPI

Mark Brian Eiler, DC PC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1659440139
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
782 Issued in NE
Practice address
2727 S 144TH St
Suite 230
Omaha, NE 68144-5227
Phone
(402) 778-5470
Fax
(402) 778-5471
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 782 NE Primary

Addresses

Primary practice location

2727 S 144TH St
Suite 230
Omaha, NE 68144-5227

Mailing address

2727 S 144TH St
Suite 230
Omaha, NE 68144-5227
Phone (402) 778-5470

Other identifiers 3

IdentifierTypeStateIssuer
91179178100MedicaidNE
350050349OtherNERAILROAD MEDICARE
36654OtherNEBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000864 NE Practitioner - Chiropractic 0547280364 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
782NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Clinic of Millard PC Chiropractor CurrentSince Oct 1, 1999 Accepting new patients

Locations

2727 S 144th St
Ste 230
Omaha, NE 68144
Phone (402) 778-5470

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1659440139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST",
            "address_2": "SUITE 230",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445227",
            "telephone_number": "402-778-5470",
            "fax_number": "402-778-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST",
            "address_2": "SUITE 230",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445227",
            "telephone_number": "402-778-5470",
            "fax_number": "402-778-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILER",
        "first_name": "MARK",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91179178100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350050349",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36654",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.