Individual provider Active NPI

Stephen E Newburn, DC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1275623787
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
991 Issued in NE
Practice address
4210 Pioneer Woods Dr. Ste B
Lincoln, NE 68506-7550
Phone
(402) 420-5373
Fax
(402) 484-5677
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 991 NE Primary

Addresses

Primary practice location

4210 Pioneer Woods Dr. Ste B
Lincoln, NE 68506-7550

Mailing address

4210 Pioneer Woods Dr. Ste B
Lincoln, NE 68506-7550
Phone (402) 420-5373

Other identifiers 3

IdentifierTypeStateIssuer
4115OtherNEMIDLANDS CHOICE
91184960700MedicaidNE
36672OtherNEBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000409 NE Practitioner - Chiropractic 7719880590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4107 Pioneer Woods Dr
Suite 111
Lincoln, NE 68506-7562
Phone (402) 904-8343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnessone of Southpointe P.C. Chiropractor CurrentSince Mar 5, 2007 Accepting new patients

Locations

4107 Pioneer Woods Dr
Ste 111
Lincoln, NE 68506
Phone (402) 904-8343

4210 Pioneer Woods Dr
Ste B
Lincoln, NE 68506
Phone (402) 420-5373

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1275623787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 PIONEER WOODS DR. STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067550",
            "telephone_number": "402-420-5373",
            "fax_number": "402-484-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 PIONEER WOODS DR. STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067550",
            "telephone_number": "402-420-5373",
            "fax_number": "402-484-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBURN",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "4115",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91184960700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "36672",
            "state": "NE"
        }
    ],
    "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 Sep 21, 2022; 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.