Active NPI
Keith Robert Chvatal, DC
- Chiropractor
- Wahoo, NE
National Provider Identifier
1043722309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1955
- Practice address
- 1320 E 31St St
Wahoo, NE 68066-5581 - Phone
- (024) 277-7180
- Fax
- (402) 277-7182
- NPI assigned
- Oct 26, 2017
- Last updated
- Nov 2, 2023
- 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 | 1955 | NE | Primary |
Addresses
Primary practice location
1320 E 31St St
Wahoo, NE 68066-5581
Mailing address
1909 Sutton Dr
Wahoo, NE 68066-4131
Phone (402) 443-9429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 E 31St St
Wahoo, NE 68066-5581
Phone (402) 277-7180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1955 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saunders County Chiropractic & Acupuncture, PC | Chiropractor | Current | Accepting new patients |
Locations
1320 E 31st St
Wahoo, NE 68066
Phone (402) 277-5091
1320 E 31st St
Ste 1
Wahoo, NE 68066
Networks
- IA HMO C-SNP
- CO HMO
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- IA HMO
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Wahoo, NE
- NPI 1417345281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1043722309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 SUTTON DR",
"city": "WAHOO",
"state": "NE",
"postal_code": "680664131",
"telephone_number": "402-443-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 E 31ST ST",
"city": "WAHOO",
"state": "NE",
"postal_code": "680665581",
"telephone_number": "024-277-7180",
"fax_number": "402-277-7182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHVATAL",
"first_name": "KEITH",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-26",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wahoo, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.