Individual provider Active NPI

Melissa Susanne Waszak, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1861761736
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1697 Issued in NE
Practice address
3821 N 167TH CT
Suite 110
Omaha, NE 68116-8070
Phone
(402) 932-5066
Fax
(402) 932-5067
NPI assigned
Dec 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 1697 NE Primary

Addresses

Primary practice location

3821 N 167TH CT
Suite 110
Omaha, NE 68116-8070

Mailing address

3821 N 167TH CT
Ste 110
Omaha, NE 68116-8071
Phone (402) 932-5066

Other names 1

  • Dr. Melissa Susanne Waszak Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000490 NE Practitioner - Chiropractic 7214194760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3821 N 167TH CT
Suite 110
Omaha, NE 68116-8071
Phone (402) 932-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1697NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aligned Health & Wellness, P.C. Chiropractor CurrentSince Dec 10, 2011 Accepting new patients

Locations

3821 N 167th Ct
Ste 110
Omaha, NE 68116
Phone (402) 932-5066

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1861761736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 N 167TH CT",
            "address_2": "STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168071",
            "telephone_number": "402-932-5066",
            "fax_number": "402-932-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 N 167TH CT",
            "address_2": "SUITE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168070",
            "telephone_number": "402-932-5066",
            "fax_number": "402-932-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASZAK",
        "first_name": "MELISSA",
        "middle_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WASZAK",
            "middle_name": "SUSANNE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.