Organization Active NPI

Scholl Spine and Sport, P.C.

  • Clinic/Center
  • Omaha, NE
National Provider Identifier
1750802203
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1839 Issued in NE
Legal business name
SCHOLL SPINE AND SPORT, P.C.
Practice address
16811 M Cir
Omaha, NE 68135-1457
Phone
(402) 843-8830
Fax
(531) 999-3664
NPI assigned
Jul 5, 2017
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Derek Alan Scholl, D.C.
Title
Owner & President
Phone
(402) 843-8830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1839 NE Primary

Addresses

Primary practice location

16811 M Cir
Omaha, NE 68135-1457

Mailing address

16811 M Cir
Omaha, NE 68135-1457
Phone (402) 843-8830

National Provider Directory

National Provider Directory

Locations

4747 Pioneers Blvd
Ste 600
Lincoln, NE 68506
Phone (402) 483-4300

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1750802203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16811 M CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351457",
            "telephone_number": "402-843-8830",
            "fax_number": "531-999-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16811 M CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351457",
            "telephone_number": "402-843-8830",
            "fax_number": "531-999-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOLL SPINE AND SPORT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "SCHOLL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER & PRESIDENT",
        "authorized_official_telephone_number": "402-843-8830",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "1839",
            "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 Jan 20, 2026; 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.