Individual provider Active NPI

Conor Wesley Penington, DC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1982468948
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2178 Issued in NE
Practice address
17725 Welch PLZ Ste a
Omaha, NE 68135-1402
Phone
(402) 507-4640
NPI assigned
Feb 9, 2024
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2178 NE Primary

Addresses

Primary practice location

17725 Welch PLZ Ste a
Omaha, NE 68135-1402

Mailing address

17725 Welch PLZ Ste a
Omaha, NE 68135-1402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230000229 NE Practitioner - Chiropractic 4486181617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Akridge and Akridge Chiropractic, LLCGroup PAC ID 4082803671, 2 clinicians

Practice addresses (Care Compare)

3811 Twin Creek Dr
Suite 102
Bellevue, NE 68123-4002
Phone (402) 884-4774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2178NEMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Akridge & Akridge Chiropractic, LLC Chiropractor CurrentSince Sep 22, 2024 Accepting new patients
Nih Chiropractic LLC Chiropractor CurrentSince Sep 22, 2024 Accepting new patients
Nexus Health Center Chiropractor CurrentSince Apr 28, 2024 Accepting new patients

Locations

3811 Twin Creek Dr
Ste 102
Bellevue, NE 68123
Phone (402) 884-4774

1529 S 203rd St
Ste 103
Omaha, NE 68130
Phone (402) 884-4774

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1982468948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17725 WELCH PLZ STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17725 WELCH PLZ STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351402",
            "telephone_number": "402-507-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENINGTON",
        "first_name": "CONOR",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2178",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 9, 2024; 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.