Individual provider Active NPI

Tanner Burt, DC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1700484573
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2063 Issued in NE
Practice address
4401 N 7TH St
Lincoln, NE 68521-2425
Phone
(402) 476-8619
NPI assigned
Oct 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 2063 NE Primary

Addresses

Primary practice location

4401 N 7TH St
Lincoln, NE 68521-2425

Mailing address

4401 N 7TH St
Lincoln, NE 68521-2425
Phone (402) 476-8619

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104000349 NE Practitioner - Chiropractic 9739599606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7111 A St
Suite 100
Lincoln, NE 68510-4283
Phone (402) 489-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TJB Chiropractic LLC Chiropractor CurrentSince May 1, 2025 Accepting new patients
Bradlee N Novotny, D.C., P.C. Chiropractor CurrentSince Oct 19, 2020 Accepting new patients
Lott Chiropractic Clinic PC Chiropractor Past Accepting new patients

Locations

7111 A St
Ste 100
Lincoln, NE 68510
Phone (402) 484-5437

4401 N 7th St
Lincoln, NE 68521
Phone (402) 476-8619

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1700484573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N 7TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212425",
            "telephone_number": "402-476-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 N 7TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212425",
            "telephone_number": "402-476-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "TANNER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

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