Organization Active NPI

Subluxation 1, LLC

  • Chiropractor
  • Hastings, NE
National Provider Identifier
1669036810
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUBLUXATION 1, LLC
Practice address
3602 Cimarron PLZ Ste 340
Hastings, NE 68901-2895
Phone
(402) 249-5500
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Dr. Scott P Rief, D.C.NPI 1982804456
Title
Owner
Phone
(308) 384-4955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3602 Cimarron PLZ Ste 340
Hastings, NE 68901-2895

Mailing address

3602 Cimarron PLZ Ste 340
Hastings, NE 68901-2895
Phone (024) 249-5500

Other practice location 1

208 S Burlington Ave Ste 103A
Hastings, NE 68901-5943
Phone (308) 384-4955

Other identifiers 1

IdentifierTypeStateIssuer
10026779101MedicaidNE

Other names 1

  • Active Family Chiropractic & Acupuncture Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL activefamilyhastings.com Direct
CONNECT URL activefamily.health

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190711001540 NE Part B Supplier - Clinic/Group Practice 5496080574 Receives reassigned benefits from 5 practitioners
Practice locations: Hastings, NE

National Provider Directory

National Provider Directory

Locations

3602 Cimarron Plz
Ste 340
Hastings, NE 68901
Phone (402) 249-5500

3602 Cimarron Plz
Ste 34
Hastings, NE 68901
Phone (402) 249-5500

208 S Burlington Ave
Ste 103A
Hastings, NE 68901
Phone (308) 384-4955

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1669036810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 CIMARRON PLZ STE 340",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012895",
            "telephone_number": "024-249-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 CIMARRON PLZ STE 340",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012895",
            "telephone_number": "402-249-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 S Burlington Ave Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "NE",
            "postal_code": "689015943",
            "country_code": "US",
            "telephone_number": "308-384-4955",
            "fax_number": "308-384-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUBLUXATION 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-10-06",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "RIEF",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-384-4955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026779101",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "activefamilyhastings.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3602 Cimarron Plz Ste 340",
            "city": "Hastings",
            "state": "NE",
            "country_code": "US",
            "postal_code": "689012895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "activefamily.health",
            "affiliation": "N",
            "address_1": "208 S Burlington Ave Ste 103A",
            "city": "Hastings",
            "state": "NE",
            "country_code": "US",
            "postal_code": "689015943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Active Family Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Active Family Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.