Kretz Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1775 Issued in NE

Legal business name

KRETZ CHIROPRACTIC LLC

Practice address

936 N Main
Henderson, NE 68371

Phone

(402) 723-5620

NPI assigned

Dec 31, 2013

Organization subpart

No

Name

Dr. Bryan Kretz, D.C.

Title

Owner

Phone

(402) 723-5620

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 31, 2013.

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1922429430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 489",
            "city": "HENDERSON",
            "state": "NE",
            "postal_code": "68371",
            "telephone_number": "402-723-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 N MAIN",
            "city": "HENDERSON",
            "state": "NE",
            "postal_code": "68371",
            "telephone_number": "402-723-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRETZ CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "KRETZ",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-723-5620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henderson Health Care Services, Inc.
• Henderson Health Care Services, Inc.
• Henderson Pharmacy LLC
• Henderson Pharmacy LLC
• Pamela E Homolka
• Megan Kroeker
• Sandra Lee Kroeker, LCSW
• Jessica Martino
• Lindsey Catherine Nelson, DO
• Donald Norris, R.P.

• All providers in Henderson, NE
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.