Organization Active NPI

Acu-Plus Chiropractic LLC

  • Chiropractor
  • South Sioux City, NE
National Provider Identifier
1982238218
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ACU-PLUS CHIROPRACTIC LLC
Practice address
920 W 21St St Ste 104
South Sioux City, NE 68776-2653
Phone
(712) 204-1608
NPI assigned
Feb 25, 2020
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Dr. Tyler Adam Peterson, DCNPI 1821523184
Title
Vice President
Phone
(402) 412-7587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

920 W 21St St Ste 104
South Sioux City, NE 68776-2653

Mailing address

929 Campbell St
North Sioux City, SD 57049-5493
Phone (712) 204-1608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200511000344 NE Part B Supplier - Clinic/Group Practice 4082045919 Receives reassigned benefits from 2 practitioners
Practice locations: South Sioux City, NE

National Provider Directory

National Provider Directory

Locations

1901 Cornhusker Dr
Ste 205
South Sioux City, NE 68776
Phone (402) 494-8800

920 W 21st St
Ste 104
South Sioux City, NE 68776
Phone (402) 412-7587

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1982238218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 CAMPBELL ST",
            "city": "NORTH SIOUX CITY",
            "state": "SD",
            "postal_code": "570495493",
            "telephone_number": "712-204-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W 21ST ST STE 104",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762653",
            "telephone_number": "712-204-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACU-PLUS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "402-412-7587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.