Individual provider Active NPI

John Eric Bartholet, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1902843295
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1299 Issued in NE
Practice address
108 N 49TH St
206
Omaha, NE 68132-3147
Phone
(402) 341-2216
Fax
(402) 553-7071
NPI assigned
Jun 2, 2006
Last updated
Apr 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1299 NE Primary

Addresses

Primary practice location

108 N 49TH St
206
Omaha, NE 68132-3147

Mailing address

12308 Bedford Ave
Omaha, NE 68164-4219
Phone (402) 452-3275

Other identifiers 1

IdentifierTypeStateIssuer
13421024100MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000222 NE Practitioner - Chiropractic 5294869376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2445 S 120TH St
Omaha, NE 68144-2810
Phone (402) 341-2216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1299NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Motion Chiropractic Clinic, PC Chiropractor CurrentSince Sep 24, 2002 Accepting new patients

Locations

108 N 49th St
Ste 206
Omaha, NE 68132
Phone (402) 341-2216

2445 S 120th St
Omaha, NE 68144
Phone (402) 341-2216

4638 Dodge St
Omaha, NE 68132
Phone (402) 341-2216

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1902843295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12308 BEDFORD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681644219",
            "telephone_number": "402-452-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 49TH ST",
            "address_2": "206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323147",
            "telephone_number": "402-341-2216",
            "fax_number": "402-553-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLET",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13421024100",
            "state": "NE"
        }
    ],
    "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 Apr 3, 2012; 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.