Active NPI
Derrick Vander Linden, DC
- Chiropractor
- Omaha, NE
National Provider Identifier
1932963899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2183
- Practice address
- 302 N 168TH Cir Ste 208
Omaha, NE 68118-4089 - Phone
- (402) 889-6881
- NPI assigned
- Feb 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2183 | NE | Primary |
Addresses
Primary practice location
302 N 168TH Cir Ste 208
Omaha, NE 68118-4089
Mailing address
596 Sandy Pointe PL
Ashland, NE 68003-7434
Phone (402) 889-6881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240626001066 | NE | Practitioner - Chiropractic | 5193269397 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2639 S 159TH PLZ
Omaha, NE 68130-1705
Phone (402) 334-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2183 | NE | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wagner Chiropractic Clinic, PC | Chiropractor | Current | Accepting new patients |
Locations
2639 S 159th Plz
Omaha, NE 68130
Phone (402) 334-4700
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.
-
- Chiropractor
- Omaha, NE
- NPI 1801982806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1932963899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "596 SANDY POINTE PL",
"city": "ASHLAND",
"state": "NE",
"postal_code": "680037434",
"telephone_number": "402-889-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 N 168TH CIR STE 208",
"city": "OMAHA",
"state": "NE",
"postal_code": "681184089",
"telephone_number": "402-889-6881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDER LINDEN",
"first_name": "DERRICK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "2183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.