Individual provider Active NPI

Jerrad John Swanson, DC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1912470048
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1999 Issued in NE
Practice address
1600 S 70TH St Ste 201
Lincoln, NE 68506-1568
Phone
(402) 484-5166
Fax
(402) 484-5177
NPI assigned
Jan 11, 2019
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1999 NE Primary

Addresses

Primary practice location

1600 S 70TH St Ste 201
Lincoln, NE 68506-1568

Mailing address

1600 S 70TH St
Ste 201
Lincoln, NE 68506-1568
Phone (308) 223-0250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190118000033 NE Practitioner - Chiropractic 5597001131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swanson Chiropractic Prof LLCGroup PAC ID 2567593817, 3 clinicians

Practice addresses (Care Compare)

4720 W Huntington Ave
Suite H
Lincoln, NE 68524-1528
Phone (402) 484-5177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1999NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swanson Chiropractic, Prof LLC Chiropractor CurrentSince Jan 10, 2019 Accepting new patients
Palser Family Chiropractic LLC Chiropractor Past Accepting new patients

Locations

1600 S 70th St
Ste 201
Lincoln, NE 68506
Phone (402) 261-6841

4720 W Huntington Ave
Ste H
Lincoln, NE 68524
Phone (402) 484-5166

Organizations & group practices 2

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1912470048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S 70TH ST",
            "address_2": "STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061568",
            "telephone_number": "308-223-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 70TH ST STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061568",
            "telephone_number": "402-484-5166",
            "fax_number": "402-484-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JERRAD",
        "middle_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 14, 2019; 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.