Active NPI
Dynamic Health Chiropractic and Acupuncture
- Chiropractor
- Omaha, NE
National Provider Identifier
1326533688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1821
- Legal business name
- DYNAMIC HEALTH CHIROPRACTIC AND ACUPUNCTURE
- Practice address
- 4269 S 144TH St
Omaha, NE 68137-1053 - Phone
- (563) 271-0698
- NPI assigned
- Jun 28, 2018
- 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
- Dr. Whitney Hall Nichols, DC
- Title
- Owner
- Phone
- (563) 271-0698
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1821 | NE | Primary |
Addresses
Primary practice location
4269 S 144TH St
Omaha, NE 68137-1053
Mailing address
3259 Westgate Rd
Omaha, NE 68124-3462
Phone (563) 271-0698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181105002698 | NE | Part B Supplier - Clinic/Group Practice | 1254684491 |
Receives reassigned benefits from 1 practitioner Practice locations: Omaha, NE |
National Provider Directory
National Provider DirectoryLocations
4269 S 144th St
Omaha, NE 68137
Phone (402) 315-1982
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Omaha, NE
- NPI 1447655469
-
- Chiropractor
- Omaha, NE
- NPI 1104223486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530144000000",
"number": "1326533688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3259 WESTGATE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243462",
"telephone_number": "563-271-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4269 S 144TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371053",
"telephone_number": "563-271-0698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC HEALTH CHIROPRACTIC AND ACUPUNCTURE",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-28",
"last_updated": "2018-06-28",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "WHITNEY",
"authorized_official_middle_name": "HALL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-271-0698",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NE",
"license": "1821",
"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 Jun 28, 2018; 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.