Individual provider Active NPI

Nicholas Michael Neneman, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1962654590
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1532 Issued in NE
Practice address
1808 N 120TH St
Omaha, NE 68154-1392
Phone
(402) 496-0147
Fax
(402) 496-4222
NPI assigned
Oct 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1532 NE Primary

Addresses

Primary practice location

1808 N 120TH St
Omaha, NE 68154-1392

Mailing address

1808 N 120TH St
Omaha, NE 68154-1392
Phone (402) 496-0147

Other identifiers 1

IdentifierTypeStateIssuer
10025725700MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081212000036 NE Practitioner - Chiropractic 9830250638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1808 N 120TH St
Omaha, NE 68154-1392
Phone (402) 496-0147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1532NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neneman Chiropractic Clinic PC Chiropractor CurrentSince Nov 3, 2008 Accepting new patients
Candlewood Chiropractic Clinic P C Past Accepting new patients

Locations

9825 Giles Rd
Ste F
Lavista, NE 68128
Phone (402) 339-2283

1808 N 120th St
Omaha, NE 68154
Phone (402) 496-0147

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1962654590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541392",
            "telephone_number": "402-496-0147",
            "fax_number": "402-496-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541392",
            "telephone_number": "402-496-0147",
            "fax_number": "402-496-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENEMAN",
        "first_name": "NICHOLAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025725700",
            "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 Jan 19, 2010; 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.