NPIMap

Organization Active NPI

Wahoo Spine and Sport Chiropractic, P.C.

  • Chiropractor
  • Wahoo, NE
National Provider Identifier
1760703854
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1618 Issued in NE
Legal business name
WAHOO SPINE AND SPORT CHIROPRACTIC, P.C.
Practice address
260 W 6TH St
Wahoo, NE 68066-1678
Phone
(308) 430-4698
NPI assigned
Jun 12, 2010
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Jason Janssen, D.C.NPI 1497074488
Title
President
Phone
(308) 430-4698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1618 NE Primary

Addresses

Primary practice location

260 W 6TH St
Wahoo, NE 68066-1678

Mailing address

260 W 6TH St
Wahoo, NE 68066-1678

National Provider Directory

National Provider Directory

Locations

260 W 6th St
Wahoo, NE 68066
Phone (308) 430-4698

Practitioners & affiliated clinicians

Practitioners 1

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": "1276300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1760703854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W 6TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W 6TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661678",
            "telephone_number": "308-430-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHOO SPINE AND SPORT CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-12",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-430-4698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahoo, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.