Active NPI
Shaun Paul Connley, D.C.
- Chiropractor
- Omaha, NE
National Provider Identifier
1922207000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1419
- Practice address
- 3675 N 129TH St
Omaha, NE 68164-5211 - Phone
- (402) 493-2077
- Fax
- (402) 493-0227
- NPI assigned
- Jul 17, 2007
- Last updated
- Jul 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1419 | NE | Primary |
Addresses
Primary practice location
3675 N 129TH St
Omaha, NE 68164-5211
Mailing address
3675 N 129TH St
Omaha, NE 68164-5211
Phone (402) 493-2077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1419 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthur Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
| Overland Chiropractic Health Services PA | Chiropractor | Past | Accepting new patients |
| Cornerstone Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1922207000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3675 N 129TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681645211",
"telephone_number": "402-493-2077",
"fax_number": "402-493-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 N 129TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681645211",
"telephone_number": "402-493-2077",
"fax_number": "402-493-0227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNLEY",
"first_name": "SHAUN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1419",
"primary": true
}
],
"identifiers": [],
"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 Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.