Individual provider Active NPI

Nathan Kyle Lauenstein, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1588079131
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1796 Issued in NE
Practice address
15811 W Dodge Rd Ste 152
Omaha, NE 68118-4013
Phone
(402) 999-8166
Fax
(402) 934-7681
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1796 NE Primary

Addresses

Primary practice location

15811 W Dodge Rd Ste 152
Omaha, NE 68118-4013

Mailing address

15811 W Dodge Rd Ste 152
Omaha, NE 68118-4013
Phone (402) 999-8166

Other practice location 1

15805 W Maple Rd
Suite 106
Omaha, NE 68116-8250
Phone (402) 991-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913001684 NE Practitioner - Chiropractic 2668768946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15811 W Dodge Rd
Suite 152
Omaha, NE 68118-4013
Phone (402) 999-8166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Performance Chiropractic & Wellness CurrentSince Jul 24, 2016 Accepting new patients
Schmitt Chiropractic & Rehab, Inc. Chiropractor Past Accepting new patients

Locations

15805 W Maple Rd
Ste 106
Omaha, NE 68116
Phone (402) 991-3500

15811 W Dodge Rd
Ste 152
Omaha, NE 68118
Phone (402) 578-1023

Organizations & group practices 2

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1588079131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 W DODGE RD STE 152",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681184013",
            "telephone_number": "402-999-8166",
            "fax_number": "402-934-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 W DODGE RD STE 152",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681184013",
            "telephone_number": "402-999-8166",
            "fax_number": "402-934-7681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15805 W Maple Rd",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681168250",
            "country_code": "US",
            "telephone_number": "402-991-3500",
            "fax_number": "402-991-3501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUENSTEIN",
        "first_name": "NATHAN",
        "middle_name": "KYLE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1796",
            "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 Aug 14, 2020; 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.