Organization Active NPI

Lisa Mutzenberger

  • Chiropractor
  • Tekamah, NE
National Provider Identifier
1639377807
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1106 Issued in NE
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Lisa A Mutzenberger, DCNPI 1043263866
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
098315OtherNEMEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.