Individual provider Active NPI

Andrew Thomas Callaghan, DC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1679282750
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2022032955 Issued in MO
Practice address
4951 Center St
Omaha, NE 68106-3251
Phone
(402) 939-8026
NPI assigned
Nov 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2022032955 MO Primary

Addresses

Primary practice location

4951 Center St
Omaha, NE 68106-3251

Mailing address

2030 W Garfield St
Lincoln, NE 68522-1453
Phone (308) 530-7346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221000835 NE Practitioner - Chiropractic 0749650455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Executive Health Solutions LLCGroup PAC ID 7113250929, 3 clinicians

Practice addresses (Care Compare)

4951 Ctr St
Suite LL
Omaha, NE 68106-3252
Phone (402) 939-8026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022032955MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Executive Health Solutions, LLC Chiropractor CurrentSince Dec 12, 2022 Accepting new patients

Locations

4951 Center St
Ste Ll
Omaha, NE 68106
Phone (402) 305-4344

1016 S 74th Plz
Omaha, NE 68114
Phone (402) 939-8026

4951 Center St
Omaha, NE 68106
Phone (402) 915-3201

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1679282750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 W GARFIELD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221453",
            "telephone_number": "308-530-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 CENTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063251",
            "telephone_number": "402-939-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022032955",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 17, 2022; 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.