Active NPI
Denneal Rene Stauffer, D. C.
- Chiropractor
- Lincoln, NE
National Provider Identifier
1972699619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1172
- Practice address
- 735 S 56TH St Ste 3
Lincoln, NE 68510-3960 - Phone
- (402) 488-8801
- Fax
- (402) 488-8801
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1172 | NE | Primary |
Addresses
Primary practice location
735 S 56TH St Ste 3
Lincoln, NE 68510-3960
Mailing address
735 S 56TH St Ste 3
Lincoln, NE 68510-3960
Phone (402) 488-8801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91185989100 | Medicaid | NE | |
| 36673 | Other | NE | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1172 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1972699619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 S 56TH ST STE 3",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685103960",
"telephone_number": "402-488-8801",
"fax_number": "402-488-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 S 56TH ST STE 3",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685103960",
"telephone_number": "402-488-8801",
"fax_number": "402-488-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUFFER",
"first_name": "DENNEAL",
"middle_name": "RENE",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91185989100",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "36673",
"state": "NE"
}
],
"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 Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.