Organization Active NPI

Neneman Chiropractic Clinic PC

  • Health Service Clinic/Center
  • Omaha, NE
National Provider Identifier
1770738130
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1532 Issued in NE
Legal business name
NENEMAN CHIROPRACTIC CLINIC PC
Practice address
1808 N 120TH St
Omaha, NE 68154-1392
Phone
(402) 496-0147
Fax
(402) 496-4222
NPI assigned
Nov 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Dr. Nicholas Michael Neneman, D.C.NPI 1962654590
Title
President/Owner
Phone
(402) 496-0147

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
Health Service Clinic/Center 261QH0100X 1532 NE Primary

Addresses

Primary practice location

1808 N 120TH St
Omaha, NE 68154-1392

Mailing address

1808 N 120TH St
Omaha, NE 68154-1392
Phone (402) 496-0147

Other identifiers 1

IdentifierTypeStateIssuer
10025725700MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081212000048 NE Part B Supplier - Clinic/Group Practice 0648331447 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1770738130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541392",
            "telephone_number": "402-496-0147",
            "fax_number": "402-496-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541392",
            "telephone_number": "402-496-0147",
            "fax_number": "402-496-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NENEMAN CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "NENEMAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "402-496-0147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NE",
            "license": "1532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025725700",
            "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 Jan 28, 2010; 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.

Verify at the official NPI Registry.