Functional Performance Chiropractic & Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1796 Issued in NE

Legal business name

FUNCTIONAL PERFORMANCE CHIROPRACTIC & WELLNESS

Practice address

15811 W Dodge Rd Ste 152
Omaha, NE 68118-4013

Phone

(402) 999-8166

Fax

(402) 934-7681

NPI assigned

Jul 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nathan K Lauenstein, D.C.NPI 1588079131

Title

Owner

Phone

(402) 999-8166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Kyle Lauenstein, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1588079131
  Medicare reassignment NPD Authorized official
• Bradley Schmitt, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1013276427
  NPD (past)
• Matthew Christian White, DO

  • Anesthesiology Physician
  • Jber, AK
  • NPI 1386931202
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1053728451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 W DODGE RD STE 152",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681184013",
            "telephone_number": "402-999-8166",
            "fax_number": "402-934-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 W DODGE RD STE 152",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681184013",
            "telephone_number": "402-999-8166",
            "fax_number": "402-934-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PERFORMANCE CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "LAUENSTEIN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-999-8166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "1796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Fulton
• Sincere Marie Fulton
• Terrance Tyree Fulton
• Gaven M Fults
• Ja'Neisha Funches
• Funk Family Chiropractic LLC
• Nevaeha Angalina Funk-Breay
• Amy Funk, NNP-BC
• Elizabeth Funk, PLMHP
• Janie Funk, PHD, BCBA-D

• Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.