Individual provider Active NPI

Lance Elliot Earhart, D.C.

  • Chiropractor
  • Holdrege, NE
National Provider Identifier
1801085733
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
680 Issued in NE
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

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01742OtherNEMID.CHOICE
36696OtherNEBCBS
47-0807756-00MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071031000263 NE Practitioner - Chiropractic 3173610680 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
680NEMDChiropractor
680NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Earhart Chiropractic Center PC Chiropractor CurrentSince Aug 1, 2007 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.

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.

Verify at the official NPI Registry.