Organization Active NPI

Blair Chiropractic Centre, LLC

  • Chiropractor
  • Blair, NE
National Provider Identifier
1831494608
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1647 Issued in NE
Legal business name
BLAIR CHIROPRACTIC CENTRE, LLC
Practice address
1729 Washington St
Suite B
Blair, NE 68008-1501
Phone
(402) 426-4443
Fax
(402) 426-4604
NPI assigned
Jan 25, 2011
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
BLAIR CHIROPRACTIC CENTRE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Rebecca Heller, DCNPI 1720383870
Title
President
Phone
(402) 426-4443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1647 NE Primary

Addresses

Primary practice location

1729 Washington St
Suite B
Blair, NE 68008-1501

Mailing address

1729 Washington St
Suite B
Blair, NE 68008-1501
Phone (402) 426-4443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000660 NE Part B Supplier - Clinic/Group Practice 3274715909 Receives reassigned benefits from 1 practitioner
Practice locations: Blair, NE

National Provider Directory

National Provider Directory
Part of
Blair Chiropractic Centre LLC

Locations

1729 Washington St
Ste B
Blair, NE 68008
Phone (402) 426-4443

Practitioners & affiliated clinicians

Practitioners 2

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": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1831494608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 WASHINGTON ST",
            "address_2": "SUITE B",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081501",
            "telephone_number": "402-426-4443",
            "fax_number": "402-426-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 WASHINGTON ST",
            "address_2": "SUITE B",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081501",
            "telephone_number": "402-426-4443",
            "fax_number": "402-426-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR CHIROPRACTIC CENTRE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLAIR CHIROPRACTIC CENTRE, LLC",
        "enumeration_date": "2011-01-25",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-426-4443",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blair, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.