Metro Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1021 Issued in NE

Legal business name

METRO CHIROPRACTIC CENTER PC

Doing business as

Kristine B Simonson DC

Practice address

701 N 132ND St
Omaha, NE 68154

Phone

(402) 496-6090

Fax

(402) 496-6158

NPI assigned

Nov 3, 2006

Last updated

Apr 20, 2008By 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

Dr. Kristine B SimonsonNPI 1538341920

Title

Owner President

Phone

(402) 496-6090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kristine B Simonson DC Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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.

• Kristine B Simonson, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1538341920
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780763326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68154",
            "telephone_number": "402-496-6090",
            "fax_number": "402-496-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68154",
            "telephone_number": "402-496-6090",
            "fax_number": "402-496-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "402-496-6090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "271414",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristine B Simonson DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 20, 2008; 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.