Individual provider Active NPI

Lance Michael Hauser, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1205049939
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1460 Issued in NE
Practice address
4227 N 163Rd Ave
Omaha, NE 68116-2920
Phone
(402) 715-5692
NPI assigned
May 8, 2007
Last updated
May 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1460 NE Primary

Addresses

Primary practice location

4227 N 163Rd Ave
Omaha, NE 68116-2920

Mailing address

4227 N 163Rd Ave
Omaha, NE 68116-2920
Phone (402) 715-5692

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000054 NE Practitioner - Chiropractic 6800943366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3605 N 147TH St
Suite 106
Omaha, NE 68116-8237
Phone (402) 715-5692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1460NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hauser Chiropractic & Acupuncture PC Chiropractor CurrentSince Sep 1, 2009 Accepting new patients
Chirosport Chiropractor Past Accepting new patients
Millard Family Chiropractic & Acupuncture Center, Inc. Chiropractor PastSince Mar 1, 2002 Accepting new patients
Millard Family Chiropractic of Papillion LLC Chiropractor Past Accepting new patients

Locations

3605 N 147th St
Ste 106
Omaha, NE 68116
Phone (402) 715-5692

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1205049939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 N 163RD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162920",
            "telephone_number": "402-715-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 N 163RD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162920",
            "telephone_number": "402-715-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "LANCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1460",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 22, 2009; 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.