Organization Active NPI

John R. Kirchner, MD

  • Clinic/Center
  • Omaha, NE
National Provider Identifier
1861455859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10745 Issued in NE
Legal business name
JOHN R. KIRCHNER, MD
Doing business as
KIRCHNER HEADACHE CLINIC, PC
Practice address
13906 Gold Cir
Suite 101
Omaha, NE 68144-2336
Phone
(402) 759-2910
Fax
(402) 758-2956
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John R Kirchner, MD
Title
MD
Phone
(402) 758-2910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10745 NE Primary

Addresses

Primary practice location

13906 Gold Cir
Suite 101
Omaha, NE 68144-2336

Mailing address

13906 Gold Cir
Suite 101
Omaha, NE 68144-2336
Phone (402) 758-2910

Other identifiers 2

IdentifierTypeStateIssuer
10025078400MedicaidNE
1904185MedicaidIA

Other names 1

  • KIRCHNER HEADACHE CLINIC, PC Doing business as

National Provider Directory

National Provider Directory

Locations

13906 Gold Cir
Ste 101
Omaha, NE 68144
Phone (402) 330-0320

13906 Gold Cir
#104
Omaha, NE 68144
Phone (402) 758-2910

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861455859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13906 GOLD CIR",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442336",
            "telephone_number": "402-758-2910",
            "fax_number": "402-758-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13906 GOLD CIR",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442336",
            "telephone_number": "402-759-2910",
            "fax_number": "402-758-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. KIRCHNER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRCHNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "402-758-2910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "10745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025078400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1904185",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIRCHNER HEADACHE CLINIC, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.