Ord Sports Chiropractic and Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1720 Issued in NE

Legal business name

ORD SPORTS CHIROPRACTIC AND WELLNESS, LLC

Practice address

232 South 16TH Street
Ord, NE 68862

Phone

(308) 728-9986

Fax

(308) 728-9987

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luke J Staab, D.C.NPI 1578822391

Title

Doctor/Owner

Phone

(308) 728-9986

Specialties & licenses 2

Addresses

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, and the practitioner matching its NPPES authorized official.

• Luke J Staab, D.C.

  • Chiropractor
  • Ord, NE
  • NPI 1578822391
  Medicare reassignment NPD Authorized official
• Beth L Gideon

  • Massage Therapist
  • Ord, NE
  • NPI 1467934265
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1689922288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SOUTH 16TH STREET",
            "city": "ORD",
            "state": "NE",
            "postal_code": "68862",
            "telephone_number": "308-728-9986",
            "fax_number": "308-728-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 SOUTH 16TH STREET",
            "city": "ORD",
            "state": "NE",
            "postal_code": "68862",
            "telephone_number": "308-728-9986",
            "fax_number": "308-728-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORD SPORTS CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "STAAB",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "308-728-9986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1720",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "3678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherilyn Miley
• Hilary Miller, M.D.
• Jessica Mills
• Nancy a. Puckett
• Ord Cosmetic and Family Dentistry, P.C. (Ord Cosmetic and Family Dentistry)
• Ord Volunteer Fire Department (Ord Vol. Fire Dept.)
• Krista Osmond
• Kisha Palmer
• Christy Sue Peterson, PT
• Piskorski Dental PC

• Chiropractor in Ord, NE
• Providers in Ord, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.