Organization Active NPI

Vibrant Family Chiropractic & Wellness, LLC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1023760436
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIBRANT FAMILY CHIROPRACTIC & WELLNESS, LLC
Practice address
13304 W Center Rd Ste 105
Omaha, NE 68144-3453
Phone
(402) 915-4029
NPI assigned
Jan 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Dr. Hannah Beran, DCNPI 1710332234
Title
Chiropractor/Owner
Phone
(308) 383-6857

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 Primary

Addresses

Primary practice location

13304 W Center Rd Ste 105
Omaha, NE 68144-3453

Mailing address

13304 W Center Rd Ste 105
Omaha, NE 68144-3453
Phone (402) 915-4029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220628002253 NE Part B Supplier - Clinic/Group Practice 2264811827 Receives reassigned benefits from 2 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

13304 W Center Rd
Ste 105
Omaha, NE 68144
Phone (402) 915-4029

Practitioners & affiliated clinicians

Practitioners 2

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": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1023760436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 W CENTER RD STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443453",
            "telephone_number": "402-915-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 W CENTER RD STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443453",
            "telephone_number": "402-915-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT FAMILY CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "BERAN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "308-383-6857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 May 29, 2024; 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.