Active NPI
Chiropractic Lifestyle, LLC
- Chiropractor
- Wisner, NE
National Provider Identifier
1861867988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1830
- Legal business name
- CHIROPRACTIC LIFESTYLE, LLC
- Practice address
- 913 Avenue E
Wisner, NE 68791 - Phone
- (402) 529-3360
- NPI assigned
- Dec 1, 2015
- Last updated
- Jan 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Danielle Marie Hill, D.C.
- Title
- Owner
- Phone
- (402) 529-3360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1830 | NE | Primary |
Addresses
Primary practice location
913 Avenue E
Wisner, NE 68791
Mailing address
PO Box 248
Wisner, NE 68791-0248
Phone (402) 529-3360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
115 W 3rd St
Ste 4
Grant, NE 69140
Phone (308) 352-4470
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Wisner, NE
- NPI 1780074666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1861867988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 248",
"city": "WISNER",
"state": "NE",
"postal_code": "687910248",
"telephone_number": "402-529-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 AVENUE E",
"city": "WISNER",
"state": "NE",
"postal_code": "68791",
"telephone_number": "402-529-3360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC LIFESTYLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-01",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "DANIELLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-529-3360",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NE",
"license": "1830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wisner, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.