DR. NICHLOS JASON CROM (NPI# 1619066800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619066800 |
| Entity Type | Individual |
| Full Name | DR. NICHLOS JASON CROM |
| Other Name | DR. NICK JASON CROM |
| Credential | D.C. |
| Practice Address |
17931 Pierce Plz Omaha NE 68130-2654 |
| Practice Telephone | 4025026888 |
| Mailing Telephone | 4025026888 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1396 | NE | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025288300 | 05 |
| Street Address |
17931 PIERCE PLZ |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215227780 | Thomas Masters | Prosthetist | 17931 Pierce Plz, Omaha, NE 68130-2654 | 2011-04-18 |
| 1649573676 | Fred Antczak | Orthotist | 17931 Pierce Plz, Omaha, NE 68130-2654 | 2010-12-14 |
| 1770767915 | Spring Ridge Chiropractic and Acupuncture LLC | Chiropractor | 17931 Pierce Plz, Omaha, NE 68130-2654 | 2007-12-24 |
| 1366501272 | Nicholas Ryan Wisniewski | Chiropractor | 17931 Pierce Plz, Omaha, NE 68130-2654 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| 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 |
| Find all providers in OMAHA | ||||
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| 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.