Organization Active NPI

Active Family Chiropractic and Acupuncture PC

  • Chiropractor
  • Grand Island, NE
National Provider Identifier
1891986063
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1466 Issued in NE
Legal business name
ACTIVE FAMILY CHIROPRACTIC AND ACUPUNCTURE PC
Practice address
622 N Webb Rd
Suite a
Grand Island, NE 68803-4049
Phone
(308) 384-4955
NPI assigned
Aug 5, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. Scott Patrick Rief, D.C.NPI 1982804456
Title
Owner
Phone
(308) 384-4955

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
Chiropractor 111N00000X 1466 NE Primary

Addresses

Primary practice location

622 N Webb Rd
Suite a
Grand Island, NE 68803-4049

Mailing address

622 N Webb Rd
Suite a
Grand Island, NE 68803-4049
Phone (308) 384-4955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071030000104 NE Part B Supplier - Clinic/Group Practice 0143317750 Receives reassigned benefits from 12 practitioners
Practice locations: Grand Island, NE

National Provider Directory

National Provider Directory

Locations

2441 N Diers Ave
Grand Island, NE 68803
Phone (308) 384-4955

622 N Webb Rd
Ste A
Grand Island, NE 68803
Phone (308) 384-4955

705 N Webb Rd
Grand Island, NE 68803
Phone (308) 384-4955

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1891986063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N WEBB RD",
            "address_2": "SUITE A",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034049",
            "telephone_number": "308-384-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N WEBB RD",
            "address_2": "SUITE A",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034049",
            "telephone_number": "308-384-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE FAMILY CHIROPRACTIC AND ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "RIEF",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-384-4955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.