Organization Active NPI

Dynamic Health Chiropractic and Acupuncture

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1326533688
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1821 Issued in NE
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

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Dr. Whitney Hall Nichols, DCNPI 1447655469
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20181105002698 NE Part B Supplier - Clinic/Group Practice 1254684491 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.