Clocktower Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1404 Issued in NE

Legal business name

CLOCKTOWER CHIROPRACTIC, INC

Practice address

633 N 98TH St
Omaha, NE 68114-2342

Phone

(402) 397-8980

Fax

(402) 397-8977

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ryan P Goss, D.C.NPI 1336182773

Title

President

Phone

(402) 397-8980

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

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

• Ryan Paul Goss, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1336182773
  Medicare reassignment NPD Authorized official
• Benjamin H Tapper, D.C.

  • Chiropractor
  • South Sioux City, NE
  • NPI 1649539222
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679662191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N 98TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142342",
            "telephone_number": "402-397-8980",
            "fax_number": "402-397-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N 98TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142342",
            "telephone_number": "402-397-8980",
            "fax_number": "402-397-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOCKTOWER CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-397-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025288200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Cline
• Sara Cline
• Clinica Medica Vida Plus, LLC
• Glen Sheridan Clinton, MD
• Rebecca Clipperton
• Christian Clodfelder, DO
• Esther Cloeter
• Alanna Clontz
• Madeline Rose Cloonan, MD
• Adam John Cloos, MD

• 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 Aug 22, 2020; 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.