NPIMap

Organization Active NPI

Omaha Joint & Wellness Care

  • Health Service Clinic/Center
  • Omaha, NE
National Provider Identifier
1801445747
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
OMAHA JOINT & WELLNESS CARE
Practice address
17021 Lakeside Hills PLZ Ste 203
Omaha, NE 68130-2390
Phone
(402) 235-4700
Fax
(531) 289-2135
NPI assigned
Sep 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Taryn Mehlhoff
Title
Director
Phone
(801) 550-3228

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

17021 Lakeside Hills PLZ Ste 203
Omaha, NE 68130-2390

Mailing address

17021 Lakeside Hills PLZ Ste 203
Omaha, NE 68130-2390
Phone (402) 235-4700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1801445747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17021 LAKESIDE HILLS PLZ STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302390",
            "telephone_number": "402-235-4700",
            "fax_number": "206-471-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 LAKESIDE HILLS PLZ STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302390",
            "telephone_number": "402-235-4700",
            "fax_number": "531-289-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA JOINT & WELLNESS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "MEHLHOFF",
        "authorized_official_first_name": "TARYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-550-3228"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.