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DR. SCOTTY G LLC
NPI 1922862820
Chiropractor in Wayne, NE

Active since February 12, 2024CLIA 28D2304363 · Waiver
214 N PEARL ST, WAYNE, NE 68787(402) 360-3506 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scotty G Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTTY G LLC (NPI 1922862820) is a healthcare organization registered as a chiropractor in Wayne, Nebraska and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Scot Gubbels, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1922862820
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDR. SCOTTY G LLC
Location Address214 N PEARL STWayne, NE 68787-1902
Mailing Address214 N Pearl StWayne, NE 68787-1902
Phone(402) 360-3506
Organization SubpartNo
Authorized OfficialScot GubbelsOwner/chiropractor · (402) 360-3506
Enumeration DateFebruary 12, 2024
Last NPPES UpdateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1922862820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
214 N PEARL ST, Wayne, NE 68787
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2304363

Dr Scotty G · Wayne, NE
Active · expires May 12, 2028
CLIA Number28D2304363
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorScot N. Gubbels
Laboratory Phone(402) 360-3506
Laboratory LocationDr Scotty G214 N Pearl Street, Wayne, NE 68787
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAYNE SPORT & SPINE, P.C.
Chiropractor
214 N PEARL ST
WAYNE, NE 68787
Wayne County (402) 375-3000
DR. JOHNATHAN EDWARD TINSLEY D.C.
Chiropractor
214 N PEARL ST
WAYNE, NE 68787
Wayne County (402) 375-3000
WAYNE SPORT AND SPINE, PC
Clinic/Center (Medical Specialty)
214 N PEARL ST
WAYNE, NE 68787
Wayne County (402) 375-3000
TODD LUEDEKE CRNA
Nurse Anesthetist, Certified Registered
214 N PEARL ST
WAYNE, NE 68787
Wayne County (402) 375-3000
WAYNE SPORT AND SPINE CENTER, LLC
Chiropractor
214 N PEARL ST
WAYNE, NE 68787
Wayne County (402) 375-3000
LEVI KENNY D.C.
Chiropractor
214 N PEARL ST
WAYNE, NE 68787
Wayne County (402) 375-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Scotty G LLC's NPI number?

The NPI number for Dr. Scotty G LLC is 1922862820. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Dr. Scotty G LLC located?

Dr. Scotty G LLC is located at 214 N Pearl St, Wayne, NE 68787. The listed phone number is (402) 360-3506.

What is Dr. Scotty G LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Does Dr. Scotty G LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2304363) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr. Scotty G LLC was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.