Organization Active NPI

Hybrid Performance Health LLC

  • Chiropractor
  • Bellevue, NE
National Provider Identifier
1700543915
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HYBRID PERFORMANCE HEALTH LLC
Doing business as
Hybrid Performance Health
Practice address
11507 S 42ND St Ste 105
Bellevue, NE 68123-6006
Phone
(712) 540-3162
NPI assigned
Nov 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Gabriel S Rahn, DC
Title
Chirpractor/Owner
Phone
(712) 540-3162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11507 S 42ND St Ste 105
Bellevue, NE 68123-6006

Mailing address

11507 S 42ND St Ste 105
Bellevue, NE 68123-6006
Phone (712) 540-3162

Other names 1

  • Hybrid Performance Health Doing business as

National Provider Directory

National Provider Directory

Locations

11507 S 42nd St
Ste 105
Bellevue, NE 68123
Phone (531) 466-7296

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1700543915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11507 S 42ND ST STE 105",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236006",
            "telephone_number": "712-540-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 S 42ND ST STE 105",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236006",
            "telephone_number": "712-540-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYBRID PERFORMANCE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "RAHN",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIRPRACTOR/OWNER",
        "authorized_official_telephone_number": "712-540-3162",
        "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": [
        {
            "organization_name": "Hybrid Performance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.