Meylor Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1688 Issued in NE

Legal business name

MEYLOR FAMILY CHIROPRACTIC, LLC

Practice address

11532 Willow Park Dr
Suite 300
Gretna, NE 68028-6947

Phone

(402) 715-4242

Fax

(402) 715-4295

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brad Alan Meylor, D.C.NPI 1770867095

Title

Member

Phone

(402) 715-4242

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.

• Brad Alan Meylor, D.C.

  • Chiropractor
  • Gretna, NE
  • NPI 1770867095
  Medicare reassignment NPD Authorized official
• Molly J Matthes, D.C.

  • Chiropractor
  • Gretna, NE
  • NPI 1851582936
  NPD (past)

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1699185116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11532 WILLOW PARK DR",
            "address_2": "SUITE 300",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286947",
            "telephone_number": "402-715-4242",
            "fax_number": "402-715-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11532 WILLOW PARK DR",
            "address_2": "SUITE 300",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286947",
            "telephone_number": "402-715-4242",
            "fax_number": "402-715-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYLOR FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "MEYLOR",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "402-715-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026385900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKinneys Food Center Limited Liability Company
• Linda Marie McQueen
• Paul Edward Menousek, PH.D.
• Cherisa Anne Meyer-Fletcher, PA-C
• Sage Anna Marie Meyer
• Brad Alan Meylor, D.C.
• Nicholas Dean Miesbach, PHARMD
• Kim Mikos
• Elizabeth M Millier
• Linda Miodonski, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.