Organization Active NPI

Rose Chiropractic Center, P.C.

  • Chiropractor
  • Aurora, NE
National Provider Identifier
1891834347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
864 Issued in NE
Legal business name
ROSE CHIROPRACTIC CENTER, P.C.
Practice address
1405 7TH St
Aurora, NE 68818-1141
Phone
(402) 694-6900
Fax
(402) 694-6904
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nanellen Jo Rose, D.C.NPI 1497798920
Title
Doctor of Chiropractic
Phone
(402) 694-6900

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 864 NE Primary

Addresses

Primary practice location

1405 7TH St
Aurora, NE 68818-1141

Mailing address

1405 7TH St
Aurora, NE 68818-1141
Phone (402) 694-6900

Other identifiers 1

IdentifierTypeStateIssuer
09834OtherNEBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070622000374 NE Part B Supplier - Clinic/Group Practice 9537268156 Receives reassigned benefits from 2 practitioners
Practice locations: Aurora, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2193182Rose Chiropractic Center1405 7TH St, Aurora, NE 68818Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Locations

1405 7th St
Aurora, NE 68818
Phone (402) 694-6900

Practitioners & affiliated clinicians

Practitioners 2

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891834347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 7TH ST",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688181141",
            "telephone_number": "402-694-6900",
            "fax_number": "402-694-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 7TH ST",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688181141",
            "telephone_number": "402-694-6900",
            "fax_number": "402-694-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "NANELLEN",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "402-694-6900",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09834",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.