MAVERICK FAMILY CHIROPRACTIC, LLC (NPI# 1881130482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881130482 |
| Entity Type | Organization |
| Organization Name | MAVERICK FAMILY CHIROPRACTIC, LLC |
| Practice Address |
5002 Center St. Suite 4 Omaha NE 68106 |
| Mailing Address |
315 W 8th St Wayne NE 68787 |
| Practice Telephone | 4022142420 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Authorized Official Name | DR. KILEY ANN CALLAWAY (CHIROPRACTOR/OWNER) |
| Authorized Official Telephone | 4022142420 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1712 | NE | Chiropractic Providers |
| Street Address |
5002 CENTER ST. SUITE 4 |
| City | OMAHA |
| State | NE |
| Zip Code | 68106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912477571 | Cara Ann Ehegartner | Counselor | 6818 Grover St Suite 200, Omaha, NE 68106 | 2018-11-27 |
| 1861961401 | Kara D. Legrow | Counselor | Legrow Therapy Services, 6910 S Pacific St., Ste #320, Omaha, NE 68106 | 2018-11-13 |
| 1154896249 | Bina Bastola | Registered Nurse | 4444marinda Street, Omaha, NE 68106 | 2018-10-04 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1518482629 | Robert Elmore | Pathology | 7710 Mercy Road, Suite 202 - Cu Dept of Pathology, Omaha, NE 68106 | 2017-08-09 |
| 1902331911 | Takeaki Ando | Student in an Organized Health Care Education/Training Program | 6910 Spring Street Apartment 316, Omaha, NE 68106 | 2017-04-27 |
| 1528411444 | Kelley Carlson | Dentist | 2141 S 63rd St, Omaha, NE 68106 | 2016-07-15 |
| 1598161911 | Nao Kozawa | Specialist/Technologist | 1102 S 60th St, Omaha, NE 68106 | 2014-11-12 |
| 1568866341 | Joel Peck | Pharmacist | 888 South Saddlecreek Rd, Omaha, NE 68106 | 2014-10-22 |
| 1255634531 | Thurman Psychological LLC | Psychologist | 6818 Grover St., Ste. 305, Omaha, NE 68106 | 2010-12-08 |
| Find all providers in zip 68106 | ||||
| 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.