Individual provider Active NPI

Brenton J Thomas, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1700105772
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1651 Issued in NE
Practice address
625 N 114TH St
Omaha, NE 68154-1514
Phone
(402) 905-2571
Fax
(402) 682-7503
NPI assigned
May 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1651 NE Primary

Addresses

Primary practice location

625 N 114TH St
Omaha, NE 68154-1514

Mailing address

625 N 114TH St
Omaha, NE 68154-1514
Phone (402) 905-2571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1651NEMDChiropractor
3276MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Millard Family Chiropractic of Papillion LLC Chiropractor Past Accepting new patients
Nick Prososki and Associates Inc. Chiropractor Past Accepting new patients
Brenton Thomas & Associates LLC Chiropractor PastSince Sep 12, 2011 Accepting new patients
CX Associates of Northampton, Inc. Chiropractor Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1700105772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N 114TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541514",
            "telephone_number": "402-905-2571",
            "fax_number": "402-682-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N 114TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541514",
            "telephone_number": "402-905-2571",
            "fax_number": "402-682-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRENTON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.