Organization Active NPI

Downtown Chiropractic Health Center PC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1942394960
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DOWNTOWN CHIROPRACTIC HEALTH CENTER PC
Practice address
2111 Douglas St
Omaha, NE 68102-1245
Phone
(402) 345-7500
Fax
(402) 345-5522
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Vicki L Stoffer
Title
Office Mangaer
Phone
(402) 345-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X NE Primary

Addresses

Primary practice location

2111 Douglas St
Omaha, NE 68102-1245

Mailing address

2111 Douglas St
Omaha, NE 68102-1245
Phone (402) 345-7500

Other identifiers 2

IdentifierTypeStateIssuer
0973727MedicaidIA
350019040OtherNERR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000725 NE Part B Supplier - Clinic/Group Practice 2860389319 Receives reassigned benefits from 2 practitioners
Practice locations: Bennington, NE; Omaha, NE

National Provider Directory

National Provider Directory

Locations

2111 Douglas St
Omaha, NE 68102
Phone (402) 345-7500

1111 N 13th St
Ste 206
Omaha, NE 68102
Phone (402) 345-7500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1942394960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 DOUGLAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021245",
            "telephone_number": "402-345-7500",
            "fax_number": "402-345-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 DOUGLAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021245",
            "telephone_number": "402-345-7500",
            "fax_number": "402-345-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN CHIROPRACTIC HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "STOFFER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANGAER",
        "authorized_official_telephone_number": "402-345-7500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0973727",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350019040",
            "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 Sep 5, 2012; 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.