OrganizationActiveAccepts Medicare
Life Source Chiropractic P.C.
NPI 1740258136 · Chiropractor · Omaha, NE
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1740258136
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jason Wiese, Chiropractor(402) 934-4220
- License
- 1400 (NE)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15475 Ruggles St.
110
Omaha, NE 68116
Phone: (402) 934-4220
Street-level locationGet directions
Mailing address
15475 Ruggles St.
Omaha, NE 68116
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.