Active NPI
Victory Health of Oneonta LLC
- Chiropractor
- Oneonta, AL
National Provider Identifier
1104430446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- VICTORY HEALTH OF ONEONTA LLC
- Practice address
- 28252 Al-75
Oneonta, AL 35121 - Phone
- (205) 625-3621
- NPI assigned
- Sep 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Bechert, DC
- Title
- Ceo
- Phone
- (256) 582-1066
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
28252 Al-75
Oneonta, AL 35121
Mailing address
1231 Gunter Ave
Guntersville, AL 35976-1841
Phone (256) 582-1066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201229000660 | AL | Part B Supplier - Clinic/Group Practice | 5193138741 |
Receives reassigned benefits from 4 practitioners Practice locations: Oneonta, AL; New Hope, AL |
National Provider Directory
National Provider DirectoryLocations
5498 Main Dr
New Hope, AL 35760
Phone (256) 723-3000
101 2nd Ave E
Oneonta, AL 35121
Phone (256) 582-1066
Practitioners & affiliated clinicians
Practitioners 4
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": "1599091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599091200000",
"number": "1104430446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 GUNTER AVE",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359761841",
"telephone_number": "256-582-1066",
"fax_number": "256-582-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28252 AL-75",
"city": "ONEONTA",
"state": "AL",
"postal_code": "35121",
"telephone_number": "205-625-3621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORY HEALTH OF ONEONTA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-08-31",
"status": "A",
"authorized_official_last_name": "BECHERT",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "256-582-1066",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oneonta, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.