Active NPI
Robert Lee IV, DC
- Independent Medical Examiner Chiropractor
- South Sioux City, NE
National Provider Identifier
1679057145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 1985
- Practice address
- 1512 Dakota Ave Ste D
South Sioux City, NE 68776-2665 - Phone
- (402) 494-2141
- NPI assigned
- Sep 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 1985 | NE | Primary |
Addresses
Primary practice location
1512 Dakota Ave Ste D
South Sioux City, NE 68776-2665
Mailing address
1512 Dakota Ave Ste D
South Sioux City, NE 68776-2665
Phone (402) 494-2141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, TX
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1985 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winnebago Tribe of Nebraska | Current | Accepting new patients | |
| Winnebago Tribe of Nebraska | Current | Accepting new patients | |
| Winnebago Tribe of Nebraska | Current | Accepting new patients |
Locations
225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950
Organizations & group practices 3
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.
-
- Land Ambulance
- Winnebago, NE
- NPI 1295720811
-
- General Acute Care Hospital
- Winnebago, NE
- NPI 1689150112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1679057145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 DAKOTA AVE STE D",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687762665",
"telephone_number": "402-494-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 DAKOTA AVE STE D",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687762665",
"telephone_number": "402-494-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "NE",
"license": "1985",
"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 Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.