Lincoln Joint & Wellness Care

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LINCOLN JOINT & WELLNESS CARE

Practice address

4500 S 70TH St Ste 117
Lincoln, NE 68516-4283

Phone

(402) 235-4701

Fax

(402) 296-8614

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Dave Self

Title

Owner

Phone

(402) 235-4701

Specialties & licenses 2

Addresses

Other names 1

• Lincoln Joint Wellness Care LLC Former legal business name

Locations

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1689209769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 70TH ST STE 117",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164283",
            "telephone_number": "402-235-4701",
            "fax_number": "402-296-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S 70TH ST STE 117",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164283",
            "telephone_number": "402-235-4701",
            "fax_number": "402-296-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN JOINT & WELLNESS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2022-05-18",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-235-4701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Joint Wellness Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lincoln Joint Wellness Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Lincoln Internal Medicine Associates, PC
• Lincoln Karate Clinic, Inc.
• Lincoln Lactation, Inc.
• Lincoln Lancaster County Child Advocacy Center
• Lincoln Light My Life Counseling, LLC
• Lincoln Lymphedema and Occupational Therapy, LLC

• Multi-Specialty Clinic/Center in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Multi-Specialty Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.