NPIMap

Organization Active NPI

Stone Creek Chiropractic, P.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1861914772
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1939 Issued in NE
Legal business name
STONE CREEK CHIROPRACTIC, P.C.
Practice address
5126 N 156TH St
Omaha, NE 68116-3226
Phone
(402) 614-7717
Fax
(402) 614-7722
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Justin O Nielsen, DCNPI 1447771050
Title
Doctor/President
Phone
(402) 614-7717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1939 NE Primary

Addresses

Primary practice location

5126 N 156TH St
Omaha, NE 68116-3226

Mailing address

5126 N 156TH St
Omaha, NE 68116-3226
Phone (402) 614-7717

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861914772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 N 156TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163226",
            "telephone_number": "402-614-7717",
            "fax_number": "402-614-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 N 156TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163226",
            "telephone_number": "402-614-7717",
            "fax_number": "402-614-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CREEK CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "402-614-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1939",
            "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 Jul 21, 2022; 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.