Southside Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1381 Issued in NE

Legal business name

SOUTHSIDE CHIROPRACTIC

Practice address

4938 S 24TH St
Omaha, NE 68107-2705

Phone

(402) 505-3088

Fax

(402) 505-3549

NPI assigned

Sep 10, 2012

Last updated

Sep 10, 2012By 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

Kristie Sexton

Title

Billing Department

Phone

(402) 505-3088

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1720337421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072705",
            "telephone_number": "402-505-3088",
            "fax_number": "402-505-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4938 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072705",
            "telephone_number": "402-505-3088",
            "fax_number": "402-505-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "402-505-3088"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Omaha Medical Associates
• South Omaha Surgical Center LLC
• Ian South, MD
• Natasha R Southall
• Southern Sudan Comm Ass
• Southside Healthcare, Inc. (Omaha Nursing and Rehabilitation Center)
• Southview Heights
• Southview Heights Operations LLC
• Southwest Family Physicians PC
• Jill C Southworth, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.