Individual provider Active NPI

Vinay Panchal, DC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1235616442
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1981 Issued in NE
Practice address
3121 S 11TH St
Lincoln, NE 68502-4416
Phone
(402) 328-0028
Fax
(402) 328-0049
NPI assigned
Jul 20, 2018
Last updated
Jul 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1981 NE Primary

Addresses

Primary practice location

3121 S 11TH St
Lincoln, NE 68502-4416

Mailing address

3121 S 11TH St
Lincoln, NE 68502-4416
Phone (402) 328-0028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212001454 NE Practitioner - Chiropractic 2062756430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5370 S 84TH St
Omaha, NE 68127-3768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1981NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kadakias LLC Chiropractor CurrentSince Dec 13, 2022 Accepting new patients
Travis Bangert DC PC Chiropractor CurrentSince Nov 4, 2018 Accepting new patients

Locations

3121 S 11th St
Lincoln, NE 68502
Phone (402) 328-0028

5370 S 84th St
Omaha, NE 68127
Phone (402) 306-3060

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1235616442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 S 11TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024416",
            "telephone_number": "402-328-0028",
            "fax_number": "402-328-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 S 11TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024416",
            "telephone_number": "402-328-0028",
            "fax_number": "402-328-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "VINAY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1981",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 20, 2018; 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.