Organization Active NPI

Rooted Movement LLC

  • Chiropractor
  • Crete, NE
National Provider Identifier
1982305231
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROOTED MOVEMENT LLC
Practice address
220 E 13TH St
Crete, NE 68333-2212
Phone
(402) 826-5151
NPI assigned
Mar 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Grant Vlasin, DCNPI 1164874665
Title
Chiropractor
Phone
(402) 641-4201

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

220 E 13TH St
Crete, NE 68333-2212

Mailing address

PO Box 96
Seward, NE 68434-0096

Other practice location 1

306 S 4th St Ste 200
Seward, NE 68434-2533
Phone (402) 643-4244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230630001733 NE Part B Supplier - Clinic/Group Practice 6406215904 Receives reassigned benefits from 2 practitioners
Practice locations: Crete, NE; Seward, NE

National Provider Directory

National Provider Directory

Locations

220 E 13th St
Crete, NE 68333
Phone (402) 826-5151

306 S 4th St
Ste 200
Seward, NE 68434
Phone (402) 643-4244

729 Seward St
Seward, NE 68434
Phone (402) 643-3343

729 Seward St
Ste 3
Seward, NE 68434
Phone (402) 803-1002

Practitioners & affiliated clinicians

Practitioners 4

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": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1982305231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684340096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 13TH ST",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683332212",
            "telephone_number": "402-826-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 S 4th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seward",
            "state": "NE",
            "postal_code": "684342533",
            "country_code": "US",
            "telephone_number": "402-643-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTED MOVEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "VLASIN",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "402-641-4201",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.