Active NPI
Provision Chiropractic and Wellness, LLC
- Chiropractor
- Lincoln, NE
National Provider Identifier
1891376919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PROVISION CHIROPRACTIC AND WELLNESS, LLC
- Practice address
- 2755 Jamie LN Ste 9
Lincoln, NE 68516-7750 - Phone
- (531) 500-2412
- Fax
- (531) 500-4520
- NPI assigned
- Apr 20, 2021
- 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. Brad Hochstein, DC
- Title
- Owner
- Phone
- (402) 369-1080
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2755 Jamie LN Ste 9
Lincoln, NE 68516-7750
Mailing address
2755 Jamie LN Ste 9
Lincoln, NE 68516-7750
Phone (531) 500-2412
Other names 1
- Provision Chiropractic and Wellness
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brad@provisionlincoln.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2755 Jamie Ln
Ste 9
Lincoln, NE 68516
Phone (531) 500-2412
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lincoln, NE
- NPI 1124358262
-
- Chiropractor
- Lincoln, NE
- NPI 1487285433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618876800000",
"number": "1891376919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 JAMIE LN STE 9",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685167750",
"telephone_number": "531-500-2412",
"fax_number": "531-500-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 JAMIE LN STE 9",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685167750",
"telephone_number": "531-500-2412",
"fax_number": "531-500-4520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVISION CHIROPRACTIC AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-20",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A",
"authorized_official_last_name": "HOCHSTEIN",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-369-1080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brad@provisionlincoln.com",
"affiliation": "N",
"endpointDescription": "Clinic Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2755 Jamie Ln Ste 9",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685167750",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Provision Chiropractic and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.