NPIMap

Organization Active NPI

Travis Bangert DC PC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1720147788
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1434 Issued in NE
Legal business name
TRAVIS BANGERT DC PC
Practice address
3121 S. 11TH Street
Lincoln, NE 68502-5349
Phone
(402) 328-0028
Fax
(402) 328-0049
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Dr. Travis John Bangert, D.C.NPI 1538247895
Title
Chiropractor
Phone
(402) 470-7050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1434 NE Primary

Addresses

Primary practice location

3121 S. 11TH Street
Lincoln, NE 68502-5349

Mailing address

3121 S. 11TH Street
Lincoln, NE 68502-5349
Phone (402) 328-0028

Other identifiers 1

IdentifierTypeStateIssuer
1538247895OtherNEPERSONAL NPI NUMBER

Other names 1

  • Advanced Chiropractic Solution Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141209001233 NE Part B Supplier - Clinic/Group Practice 2567784283 Receives reassigned benefits from 8 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory
Tax ID family
Advanced Chiropractic Solution2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1720147788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 S. 11TH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025349",
            "telephone_number": "402-328-0028",
            "fax_number": "402-328-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 S. 11TH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025349",
            "telephone_number": "402-328-0028",
            "fax_number": "402-328-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS BANGERT DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "BANGERT",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "402-470-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1538247895",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic Solution",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 2015; 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.

Verify at the official NPI Registry.