Individual provider Active NPI

Brett Classen

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1356093686
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2179 Issued in NE
Practice address
120 Regency Pkwy Ste 104
Omaha, NE 68114-4301
Phone
(612) 868-0146
NPI assigned
Jan 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X CHR.0008421 CO
Chiropractor 111N00000X CHR.0008421 CO
Chiropractor 111N00000X 2179 NE Primary

Addresses

Primary practice location

120 Regency Pkwy Ste 104
Omaha, NE 68114-4301

Mailing address

120 Regency Pkwy Ste 104
Omaha, NE 68114-4301
Phone (612) 868-0146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2179NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One80 Chiropractic and Functional Rehab LLC Chiropractor CurrentSince Feb 23, 2025 Accepting new patients

Locations

120 Regency Pkwy
Ste 104
Omaha, NE 68114
Phone (612) 868-0146

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1356093686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 REGENCY PKWY STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144301",
            "telephone_number": "612-868-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 REGENCY PKWY STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144301",
            "telephone_number": "612-868-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASSEN",
        "first_name": "BRETT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-18",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "CHR.0008421",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008421",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2179",
            "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 Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.