Organization Active NPI

Griess Chiropractic and Wellness Center, P.C.

  • Chiropractor
  • Aurora, NE
National Provider Identifier
1831495019
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRIESS CHIROPRACTIC AND WELLNESS CENTER, P.C.
Practice address
207 S 16TH St Ste a
Aurora, NE 68818-3034
Phone
(402) 694-0181
Fax
(402) 694-0182
NPI assigned
Feb 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Lukas Eugene Griess, D.C.NPI 1639474802
Title
President
Phone
(402) 469-3710

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

207 S 16TH St Ste a
Aurora, NE 68818-3034

Mailing address

207 S 16TH St Ste a
Aurora, NE 68818-3034
Phone (402) 694-0181

Other identifiers 2

IdentifierTypeStateIssuer
10025934300MedicaidNE
NA1834OtherNEMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000430 NE Part B Supplier - Clinic/Group Practice 9436332871 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, NE

National Provider Directory

National Provider Directory

Locations

207 S 16th St
Ste A
Aurora, NE 68818
Phone (402) 694-0181

Practitioners & affiliated clinicians

Practitioners 1

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": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1831495019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S 16TH ST STE A",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688183034",
            "telephone_number": "402-694-0181",
            "fax_number": "402-694-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S 16TH ST STE A",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688183034",
            "telephone_number": "402-694-0181",
            "fax_number": "402-694-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIESS CHIROPRACTIC AND WELLNESS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "GRIESS",
        "authorized_official_first_name": "LUKAS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-469-3710",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025934300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NA1834",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.