Active NPI
Lance Elliot Earhart, D.C.
- Chiropractor
- Holdrege, NE
National Provider Identifier
1801085733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 680
- Practice address
- 128 W 4TH Ave
Holdrege, NE 68949-2628 - Phone
- (305) 995-5454
- Fax
- (308) 995-5595
- NPI assigned
- Oct 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 680 | NE | Primary |
Addresses
Primary practice location
128 W 4TH Ave
Holdrege, NE 68949-2628
Mailing address
128 W 4TH Ave
Holdrege, NE 68949-2628
Phone (305) 995-5454
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01742 | Other | NE | MID.CHOICE |
| 36696 | Other | NE | BCBS |
| 47-0807756-00 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
128 W 4TH Ave
Holdrege, NE 68949-2628
Phone (308) 995-5454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 680 | NE | MD | Chiropractor |
| 680 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earhart Chiropractic Center PC | Chiropractor | Current | Accepting new patients |
Locations
128 W 4th Ave
Holdrege, NE 68949
Phone (305) 995-5454
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Holdrege, NE
- NPI 1922153352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1801085733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 W 4TH AVE",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689492628",
"telephone_number": "305-995-5454",
"fax_number": "308-995-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 W 4TH AVE",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689492628",
"telephone_number": "305-995-5454",
"fax_number": "308-995-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARHART",
"first_name": "LANCE",
"middle_name": "ELLIOT",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MID.CHOICE",
"identifier": "01742",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "36696",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-0807756-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holdrege, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.