Individual provider Active NPI

Darian Mahmood Ameli, D.C.

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1790724722
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1451 Issued in NE
Practice address
5710 S 53Rd St
Lincoln, NE 68516-3276
Phone
(402) 770-5967
Fax
(402) 904-4223
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3187 MN
Chiropractor 111N00000X 1451 NE Primary

Addresses

Primary practice location

5710 S 53Rd St
Lincoln, NE 68516-3276

Mailing address

5710 S 53Rd St
Lincoln, NE 68516-3276
Phone (402) 770-5967

Other identifiers 2

IdentifierTypeStateIssuer
4487765OtherMNMEDICA PROVIDER NUMBER
974019800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3187MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy and Sports Performance, LLC PastSince Sep 1, 2010 Accepting new patients
Zeiszler Chiropractic Clinic, P.a. Chiropractor PastSince Oct 20, 2006 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1790724722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 S 53RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163276",
            "telephone_number": "402-770-5967",
            "fax_number": "402-904-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 S 53RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163276",
            "telephone_number": "402-770-5967",
            "fax_number": "402-904-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMELI",
        "first_name": "DARIAN",
        "middle_name": "MAHMOOD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3187",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER NUMBER",
            "identifier": "4487765",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974019800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.