Individual provider Active NPI

Loren W Nebben, DC

  • Chiropractor
  • Clarksville, TN
National Provider Identifier
1942283650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC01543 Issued in TN
Practice address
282 Clear Sky CT
Clarksville, TN 37043-5686
Phone
(931) 647-1199
Fax
(931) 647-7010
NPI assigned
Nov 28, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC01543 TN Primary

Addresses

Primary practice location

282 Clear Sky CT
Clarksville, TN 37043-5686

Mailing address

282 Clear Sky CT
Clarksville, TN 37043-5686
Phone (931) 647-1199

Other identifiers 1

IdentifierTypeStateIssuer
3970625MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070105000483 TN Practitioner - Chiropractic 8628078193 Reassigns benefits to 1 organization
Practice locations: Clarksville, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

282 Clear Sky CT
Clarksville, TN 37043-5653
Phone (931) 647-1199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1543TNMDMarriage & Family Therapist
DC01543TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nebben Physical Medicine, LLC CurrentSince Jun 3, 2015 Accepting new patients
Nebben Chiropractic Center Chiropractor PastSince Jul 22, 2021 Accepting new patients

Locations

282 Clear Sky Ct
Clarksville, TN 37043
Phone (931) 647-1199

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942283650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 CLEAR SKY CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435686",
            "telephone_number": "931-647-1199",
            "fax_number": "931-647-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 CLEAR SKY CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435686",
            "telephone_number": "931-647-1199",
            "fax_number": "931-647-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBBEN",
        "first_name": "LOREN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC01543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3970625",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.