Organization Active NPI

Buettenback Inc.

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1306870324
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1347 Issued in NE
Legal business name
BUETTENBACK INC.
Practice address
5533 NW 1St St
Suite 102
Lincoln, NE 68521-4474
Phone
(402) 476-8483
Fax
(402) 742-3783
NPI assigned
Jul 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ben Robert Buettenback, D.C.NPI 1306842638
Title
Owner, Chiropractor
Phone
(402) 476-8483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1347 NE Primary

Addresses

Primary practice location

5533 NW 1St St
Suite 102
Lincoln, NE 68521-4474

Mailing address

5533 NW 1St St
Suite 102
Lincoln, NE 68521-4474
Phone (402) 476-8483

Other identifiers 1

IdentifierTypeStateIssuer
10025227300MedicaidNE

Other names 1

  • Buettenback Chiropractic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050418001013 NE Part B Supplier - Clinic/Group Practice 6800834284 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

4811 NW 1st St
Ste 5
Lincoln, NE 68521
Phone (402) 476-8483

5533 NW 1st St
#102
Lincoln, NE 68521
Phone (402) 476-8483

5533 NW 1st St
Ste 102
Lincoln, NE 68521
Phone (402) 476-8483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306870324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 NW 1ST ST",
            "address_2": "SUITE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214474",
            "telephone_number": "402-476-8483",
            "fax_number": "402-742-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 NW 1ST ST",
            "address_2": "SUITE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214474",
            "telephone_number": "402-476-8483",
            "fax_number": "402-742-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUETTENBACK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUETTENBACK",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "402-476-8483",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025227300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buettenback Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 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.