Individual provider Active NPI

Benjamin H Tapper, D.C.

  • Chiropractor
  • South Sioux City, NE
National Provider Identifier
1649539222
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1722 Issued in NE
Practice address
1512 Dakota Ave
Suite D
South Sioux City, NE 68776-2665
Phone
(402) 494-2141
Fax
(402) 494-3155
NPI assigned
May 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1722 NE Primary

Addresses

Primary practice location

1512 Dakota Ave
Suite D
South Sioux City, NE 68776-2665

Mailing address

1512 Dakota Ave
Suite D
South Sioux City, NE 68776-2665
Phone (402) 494-2141

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
1722NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clocktower Chiropractic, Inc Chiropractor Current Accepting new patients
Lee Family Chiropractic LLC PastSince Oct 30, 2018 Accepting new patients

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1649539222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 DAKOTA AVE",
            "address_2": "SUITE D",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762665",
            "telephone_number": "402-494-2141",
            "fax_number": "402-494-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 DAKOTA AVE",
            "address_2": "SUITE D",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762665",
            "telephone_number": "402-494-2141",
            "fax_number": "402-494-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPPER",
        "first_name": "BENJAMIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.