Active NPI
Thomas A Siwa, D.C.
- Chiropractor
- Omaha, NE
National Provider Identifier
1770665895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1110
- Practice address
- 5148 N 90TH St
Omaha, NE 68134-2830 - Phone
- (402) 933-2273
- Fax
- (402) 502-9255
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1110 | NE | Primary |
Addresses
Primary practice location
5148 N 90TH St
Omaha, NE 68134-2830
Mailing address
5148 N 90TH St
Omaha, NE 68134-2830
Phone (402) 933-2273
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100250829-00 | Medicaid | NE | |
| 612846 | Other | NE | UNITED HEALTHCARE |
| 99529 | Other | NE | NEBRASKA BLUECROSS/BLUESH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1110 | NE | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Chiropractic P.C. | Chiropractor | Current | Accepting new patients |
| Mark R. Cobleigh | Chiropractor | Past | Accepting new patients |
Locations
5148 N 90th St
Omaha, NE 68134
Phone (402) 933-2273
Organizations & group practices 2
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.
-
- Chiropractor
- Omaha, NE
- NPI 1023190154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770665895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5148 N 90TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681342830",
"telephone_number": "402-933-2273",
"fax_number": "402-502-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5148 N 90TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681342830",
"telephone_number": "402-933-2273",
"fax_number": "402-502-9255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIWA",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250829-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "612846",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEBRASKA BLUECROSS/BLUESH",
"identifier": "99529",
"state": "NE"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.