Complete Chiropractic & Laser LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1682 Issued in NE

Legal business name

COMPLETE CHIROPRACTIC & LASER LLC

Practice address

313 N Main St
Valentine, NE 69201-1841

Phone

(402) 376-8055

Fax

(402) 376-8075

NPI assigned

Oct 7, 2016

Last updated

Oct 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jami S Qualley, D.C.NPI 1952682411

Title

Owner

Phone

(402) 376-8055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jami Sue Qualley, D.C.

  • Chiropractor
  • Valentine, NE
  • NPI 1952682411
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1821548405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N MAIN ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011841",
            "telephone_number": "402-376-8055",
            "fax_number": "402-376-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N MAIN ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011841",
            "telephone_number": "402-376-8055",
            "fax_number": "402-376-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CHIROPRACTIC & LASER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "QUALLEY",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-376-8055",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Valentine, NE
• Providers in Valentine, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.