Individual provider Active NPI

Scott Lee Sizenbach, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1043396146
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1265 Issued in NE
Practice address
10815 Prairie Brook Rd
Omaha, NE 68144-4827
Phone
(402) 397-1800
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1265 NE Primary

Addresses

Primary practice location

10815 Prairie Brook Rd
Omaha, NE 68144-4827

Mailing address

10815 Prairie Brook Rd
Omaha, NE 68144-4827
Phone (402) 397-1800

Other identifiers 1

IdentifierTypeStateIssuer
100252380-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505000671 NE Practitioner - Chiropractic 7618917097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10815 Prairie Brook Rd
Omaha, NE 68144-4827
Phone (402) 397-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sizenbach Chiropractic Inc Chiropractor CurrentSince May 1, 2005 Accepting new patients

Networks

  • CO HMO C-SNP
  • CO HMO D-SNP
  • IA HMO C-SNP
  • CO HMO
  • IA HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1043396146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 PRAIRIE BROOK RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444827",
            "telephone_number": "402-397-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 PRAIRIE BROOK RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444827",
            "telephone_number": "402-397-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZENBACH",
        "first_name": "SCOTT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252380-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.