Active NPI
Jace Alan Peters, D.C.
- Chiropractor
- Omaha, NE
National Provider Identifier
1861865735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1859
- Practice address
- 15615 Pacific St
Suite #106
Omaha, NE 68118-2118 - Phone
- (403) 933-4447
- NPI assigned
- Nov 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1859 | NE | Primary |
Addresses
Primary practice location
15615 Pacific St
Suite #106
Omaha, NE 68118-2118
Mailing address
4909 Cass St
Omaha, NE 68132-2912
Phone (712) 520-2311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12828 Augusta Ave
Omaha, NE 68144-3733
Phone (402) 933-4366
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1859 | NE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omne Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
15615 Pacific St
Ste 106
Omaha, NE 68118
Phone (402) 933-4447
12828 Augusta Ave
Omaha, NE 68144
Phone (402) 933-4366
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": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1861865735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 CASS ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681322912",
"telephone_number": "712-520-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15615 PACIFIC ST",
"address_2": "SUITE #106",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182118",
"telephone_number": "403-933-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "JACE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-02",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 2, 2015; 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.