Diamond Chiropractic North LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DIAMOND CHIROPRACTIC NORTH LLC

Practice address

10011 Maple St
Omaha, NE 68134-5552

Phone

(402) 505-4414

Fax

(402) 614-9806

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Robert Gerald Nilles, DCNPI 1235103565

Title

President

Phone

(402) 506-2010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 3

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

• Robert Gerald Nilles, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1235103565
  Medicare reassignment NPD Authorized official
• Jeffrey N Clark, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1588774673
  NPD
• Jordyn N Davis, DC

  • Chiropractor
  • Omaha, NE
  • NPI 1023778107
  NPD

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1689345522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 W CENTER RD STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443951",
            "telephone_number": "402-505-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345552",
            "telephone_number": "402-505-4414",
            "fax_number": "402-614-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND CHIROPRACTIC NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "NILLES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-506-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Steven J Diamantis, MD
• Diamond Chiropractic & Acupuncture, LLC
• Jennifer N Diamond, DO
• Olivia Diamond
• Diane'S Heavenly Care LLC
• Nyanyak Koang Diang
• Gleyce Dias

• All providers in Omaha, NE
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.