Active NPI
Michael Simon Patestas, D.C.
- Chiropractor
- Lincoln, NE
National Provider Identifier
1154493625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1427
- Practice address
- 5600 S 48TH St
Suite #108
Lincoln, NE 68516-4110 - Phone
- (402) 421-1180
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1427 | NE | Primary |
Addresses
Primary practice location
5600 S 48TH St
Suite #108
Lincoln, NE 68516-4110
Mailing address
5600 S 48TH St
Suite #108
Lincoln, NE 68516-4110
Phone (402) 421-1180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070122000470 | NE | Practitioner - Chiropractic | 7810998614 | Practice locations: Lincoln, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5600 S 48TH St
Lincoln, NE 68516-4110
Phone (402) 421-1180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154493625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 S 48TH ST",
"address_2": "SUITE #108",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164110",
"telephone_number": "402-421-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 S 48TH ST",
"address_2": "SUITE #108",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164110",
"telephone_number": "402-421-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATESTAS",
"first_name": "MICHAEL",
"middle_name": "SIMON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.