Organization Active NPI

Timothy J Maack DC PC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1790946978
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
111N00000X Issued in NE
Legal business name
TIMOTHY J MAACK DC PC
Practice address
4645 Normal Blvd Ste 200
Lincoln, NE 68506-5823
Phone
(402) 483-6633
Fax
(402) 483-6919
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. Timothy J Maack, DC
Title
President
Phone
(402) 483-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 111N00000X NE Primary

Addresses

Primary practice location

4645 Normal Blvd Ste 200
Lincoln, NE 68506-5823

Mailing address

4645 Normal Blvd Ste 200
Lincoln, NE 68506-5823
Phone (402) 483-6633

National Provider Directory

National Provider Directory

Locations

4645 Normal Blvd
Ste 200
Lincoln, NE 68506
Phone (402) 483-6633

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1790946978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 NORMAL BLVD STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065823",
            "telephone_number": "402-483-6633",
            "fax_number": "402-483-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 NORMAL BLVD STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065823",
            "telephone_number": "402-483-6633",
            "fax_number": "402-483-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J MAACK DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "MAACK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-483-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "111N00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 31, 2009; 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.