Individual provider Active NPI

Regan Elizabeth Dierks, DC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1780475806
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2228 Issued in NE
Practice address
3121 S 11TH St
Lincoln, NE 68502-4416
Phone
(402) 328-0028
NPI assigned
May 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2228 NE Primary

Addresses

Primary practice location

3121 S 11TH St
Lincoln, NE 68502-4416

Mailing address

3121 S 11TH St
Lincoln, NE 68502-4416
Phone (402) 328-0028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250714001944 NE Practitioner - Chiropractic 2860907490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Travis Bangert DC PCGroup PAC ID 2567784283, 4 clinicians

Practice addresses (Care Compare)

3121 S 11TH St
Lincoln, NE 68502-4416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2228NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Travis Bangert DC PC Chiropractor CurrentSince Jun 1, 2025 Accepting new patients

Locations

3121 S 11th St
Lincoln, NE 68502
Phone (402) 328-0028

Organizations & group practices 1

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": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1780475806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 S 11TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024416",
            "telephone_number": "402-328-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 S 11TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024416",
            "telephone_number": "402-328-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERKS",
        "first_name": "REGAN",
        "middle_name": "ELIZABETH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2228",
            "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 May 16, 2025; 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.