OMAHA SPINE AND SPORT, FUNCTIONAL CHIROPRACTIC CENTER, PC


Address: 15615 Pacific St Ste 106, Omaha, NE 68118-2118
Phone: 4029334447

OMAHA SPINE AND SPORT, FUNCTIONAL CHIROPRACTIC CENTER, PC (NPI# 1407115488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407115488
Entity Type Organization
Organization Name OMAHA SPINE AND SPORT, FUNCTIONAL CHIROPRACTIC CENTER, PC
Practice Address 15615 Pacific St Ste 106
Omaha
NE 68118-2118
Practice Telephone 4029334447
Practice Fax Number 4029334857
Mailing Telephone 4029334447
Mailing Fax Number 4029334857
Enumeration Date 2012-05-10
Last Update Date 2012-05-23
Authorized Official Name DR. COREY J CAMPBELL (CHIROPRACTOR/PRESIDENT)
Authorized Official Telephone 4029334447
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 1328 NE Chiropractic Providers

Office Location

Street Address 15615 PACIFIC ST STE 106
City OMAHA
State NE
Zip Code 68118-2118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215416888 Elevate Chiropractic LLC Chiropractor 15615 Pacific St Ste 106, Omaha, NE 68118-2187 2018-08-14
1295246791 Omne Chiropractic LLC Chiropractor 15615 Pacific St Ste 106, Omaha, NE 68118-2187 2017-10-24
1346761871 Blake Barry Chiropractor 15615 Pacific St Ste 106, Omaha, NE 68118-2187 2017-07-06
1811395528 Allison R Blessing Chiropractor 15615 Pacific St Ste 106, Omaha, NE 68118-2187 2014-12-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932644127 Renal Care Group of The Midwest, Inc. Clinic/Center 15801 West Dodge Road, Omaha, NE 68118 2016-12-27
1982091583 Andrew Siref Student in an Organized Health Care Education/Training Program 16622 Howard Cir, Omaha, NE 68118 2015-04-21
1942628839 Deirdre Anne Stolmeier Dermatology 515 N 162nd Ave Ste 302, Omaha, NE 68118 2014-03-28
1457625782 James Clark Pharmacist 16130 Parker St, Omaha, NE 68118 2012-03-05
1619102613 Children's West Village Pointe - Diagnostic Services Spec/Tech, Pathology 110 North 175 Street, Children's West Village Pointe - Diagnostic Services, Omaha, NE 68118 2009-05-19
1033359732 Children's Hospital Pediatrics 110 North 175 Street, Suite 1000, Children's Hospital - Urgent Care - West Village Pointe, Omaha, NE 68118 2009-02-20
1285802538 Becker Chiropractic LLC Chiropractor 17785 Mason St, Suite 101, Omaha, NE 68118 2008-02-20
1598940611 Dane Patrick Becker Chiropractor 17785 Mason St., Suite 101, Omaha, NE 68118 2008-01-08
1700951779 Karoline S Anderson Pediatrics 16811 Burke Street, Ste 101, Omaha, NE 68118 2006-11-22
1154435691 Scott M Debates Dermatology 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 2006-08-19
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932713674 Dalton Sealey Chiropractor 4638 Dodge St, Omaha, NE 68132-3234 2020-09-01
1154935807 Bruce Eshelman Chiropractor 909 Capitol Ave Apt 507, Omaha, NE 68102-1295 2020-09-01
1154965473 Cassandra Thielen Chiropractor 18010 R Plz Ste 104, Omaha, NE 68135-1923 2019-10-30
1619539012 Abundance Chiropractic, LLC Chiropractor 18111 Q St Ste 104, Omaha, NE 68135-1245 2019-07-05
1083275317 Tara Carlson Chiropractor 3808 S 203rd Plz Ste 400, Omaha, NE 68130-6402 2019-06-26
1144791658 Klink Chiropractic & Acupuncture, PC Chiropractor 2527 S 140th Ave, Omaha, NE 68144-2301 2018-12-10
1881165397 Elle Klink Chiropractor 2527 S 140th Street, Omaha, NE 68144 2018-12-10
1497239560 Sarpy Chiropractic Millard Chiropractor 4909 S 135th St Ste 104, Omaha, NE 68137-1657 2018-09-24
1962904334 Louis Nutter Chiropractor 14450 Meadows Blvd, Omaha, NE 68138-3896 2018-03-01
1073021796 Derek Virgl Chiropractor 17785 Mason St Ste 101, Omaha, NE 68118-3526 2018-01-16
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Competitor

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City OMAHA
Zip Code 68118

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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