NPIMap

Organization Active NPI

Wild Chiropractic, P.C.

  • Chiropractor
  • Seward, NE
National Provider Identifier
1831246990
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1017 Issued in NE
Legal business name
WILD CHIROPRACTIC, P.C.
Practice address
905 Main Street
Seward, NE 68434-2072
Phone
(402) 643-6565
Fax
(402) 643-6565
NPI assigned
Jan 4, 2007
Last updated
Nov 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. John Andrew Wild, D.C.NPI 1780679704
Title
Chiropractor Owner
Phone
(402) 643-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1017 NE Primary

Addresses

Primary practice location

905 Main Street
Seward, NE 68434-2072

Mailing address

905 Main St
Seward, NE 68434-2047
Phone (402) 643-6565

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1831246990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684342047",
            "telephone_number": "402-643-6565",
            "fax_number": "402-643-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN STREET",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684342072",
            "telephone_number": "402-643-6565",
            "fax_number": "402-643-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "WILD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "402-643-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seward, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.