Active NPI
Lisa Mutzenberger
- Chiropractor
- Tekamah, NE
National Provider Identifier
1639377807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1106
- Legal business name
- LISA MUTZENBERGER
- Practice address
- 435 S 13TH St
Tekamah, NE 68061-1307 - Phone
- (402) 374-1900
- NPI assigned
- Jul 10, 2007
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa A Mutzenberger, DC
- Title
- Owner
- Phone
- (402) 374-1900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1106 | NE | Primary |
Addresses
Primary practice location
435 S 13TH St
Tekamah, NE 68061-1307
Mailing address
435 S 13TH St
Tekamah, NE 68061-1307
Phone (402) 374-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098315 | Other | NE | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
435 S 13th St
Tekamah, NE 68061
Phone (402) 374-1900
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.
-
- Chiropractor
- Tekamah, NE
- NPI 1043263866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1639377807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 S 13TH ST",
"city": "TEKAMAH",
"state": "NE",
"postal_code": "680611307",
"telephone_number": "402-374-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 S 13TH ST",
"city": "TEKAMAH",
"state": "NE",
"postal_code": "680611307",
"telephone_number": "402-374-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA MUTZENBERGER",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MUTZENBERGER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-374-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "098315",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tekamah, NE
- Wendy R Hansen, PTA, EMT-B
- Genevieve Judt
- Kimberly Kaye Kegler
- Katie Krause
- Mary Frances Krause, OTR
- Lisa Marie McKee, PH.D.
- Memorial Community Hospital Corporation (Cottonwood Clinic)
- Memorial Community Hospital Corporation (Cottonwood Rural Health Clinic)
- Amber Marie Miller, APRN
- Lisa A Mutzenberger, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.