Individual provider Active NPI

Roger Charles Ihle, DC

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1841225943
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
701 Issued in NE
Practice address
5110 2ND Ave Ste D
Kearney, NE 68847-2414
Phone
(308) 237-3123
Fax
(308) 237-2771
NPI assigned
Jul 11, 2006
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 701 NE Primary

Addresses

Primary practice location

5110 2ND Ave Ste D
Kearney, NE 68847-2414

Mailing address

5110 2ND Ave Ste D
Kearney, NE 68847-2414
Phone (308) 237-3123

Other identifiers 3

IdentifierTypeStateIssuer
09567OtherNEBCBS
22483OtherNEMIDLANDS CHOICE
47-078876200MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
701NEMDHearing Instrument Specialist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1841225943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 2ND AVE STE D",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472414",
            "telephone_number": "308-237-3123",
            "fax_number": "308-237-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 2ND AVE STE D",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472414",
            "telephone_number": "308-237-3123",
            "fax_number": "308-237-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHLE",
        "first_name": "ROGER",
        "middle_name": "CHARLES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09567",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "22483",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-078876200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.