Organization Active NPI

Adams County Chiropractic Clinic PC

  • Chiropractor
  • Hastings, NE
National Provider Identifier
1902111867
Registry record updated Oct 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1188 Issued in NE
Legal business name
ADAMS COUNTY CHIROPRACTIC CLINIC PC
Practice address
406 N Minnesota Ave
Hastings, NE 68901-5254
Phone
(402) 463-5111
NPI assigned
Aug 16, 2010
Last updated
Oct 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2010

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

Authorized official

Name
John Alan CervenyNPI 1134169469
Title
Owner
Phone
(402) 463-5111

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 1188 NE Primary

Addresses

Primary practice location

406 N Minnesota Ave
Hastings, NE 68901-5254

Mailing address

406 N Minnesota Ave
Hastings, NE 68901-5254

Other identifiers 1

IdentifierTypeStateIssuer
506040863MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000849 NE Part B Supplier - Clinic/Group Practice 7719179613 Receives reassigned benefits from 1 practitioner
Practice locations: Hastings, NE; Red Cloud, NE

National Provider Directory

National Provider Directory

Locations

406 N Minnesota Ave
Hastings, NE 68901
Phone (402) 463-5111

20 N Webster St
Red Cloud, NE 68970
Phone (402) 746-3435

Practitioners & affiliated clinicians

Practitioners 2

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": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286755200000",
    "number": "1902111867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N MINNESOTA AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N MINNESOTA AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015254",
            "telephone_number": "402-463-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS COUNTY CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-10-11",
        "status": "A",
        "authorized_official_last_name": "CERVENY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-463-5111"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506040863",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; 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.