Organization Active NPI

Komp Chiropractic and Acupunture Clinic PC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1871888313
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1668 Issued in NE
Legal business name
KOMP CHIROPRACTIC AND ACUPUNTURE CLINIC PC
Practice address
14510 F St
Ste 103
Omaha, NE 68137-5403
Phone
(402) 502-3878
Fax
(402) 502-5621
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Jordon Komp, D.C.NPI 1457643546
Title
President
Phone
(785) 766-3709

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 1668 NE Primary

Addresses

Primary practice location

14510 F St
Ste 103
Omaha, NE 68137-5403

Mailing address

14510 F St
Ste 103
Omaha, NE 68137-5403
Phone (402) 502-3878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111207000730 NE Part B Supplier - Clinic/Group Practice 0840465522 Receives reassigned benefits from 3 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

14510 F St
Ste 103
Omaha, NE 68137
Phone (402) 484-0200

Practitioners & affiliated clinicians

Practitioners 3

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": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1871888313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14510 F ST",
            "address_2": "STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375403",
            "telephone_number": "402-502-3878",
            "fax_number": "402-502-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14510 F ST",
            "address_2": "STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375403",
            "telephone_number": "402-502-3878",
            "fax_number": "402-502-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMP CHIROPRACTIC AND ACUPUNTURE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "KOMP",
        "authorized_official_first_name": "JORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-766-3709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1668",
            "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 Jun 13, 2011; 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.

Verify at the official NPI Registry.