Active NPI
Kadakias LLC
- Chiropractor
- Omaha, NE
National Provider Identifier
1497498596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- KADAKIAS LLC
- Practice address
- 5370 S 84TH St
Omaha, NE 68127-3774 - Phone
- (402) 502-1230
- Fax
- (402) 502-0756
- NPI assigned
- Apr 16, 2022
- 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
- Vinay Panchal, DC
- Title
- Owner/Provider
- Phone
- (402) 502-1230
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 | Primary |
Addresses
Primary practice location
5370 S 84TH St
Omaha, NE 68127-3774
Mailing address
5370 S 84TH St
Omaha, NE 68127-3774
Phone (402) 502-1230
Other names 1
- Platinum Chiropractic Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230316001092 | NE | Part B Supplier - Clinic/Group Practice | 2769856608 |
Receives reassigned benefits from 1 practitioner Practice locations: Omaha, NE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lincoln, NE
- NPI 1235616442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650067200000",
"number": "1497498596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5370 S 84TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681273774",
"telephone_number": "402-502-1230",
"fax_number": "402-502-0756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5370 S 84TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681273774",
"telephone_number": "402-502-1230",
"fax_number": "402-502-0756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KADAKIAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-16",
"last_updated": "2022-04-16",
"certification_date": "2022-04-16",
"status": "A",
"authorized_official_last_name": "PANCHAL",
"authorized_official_first_name": "VINAY",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "402-502-1230",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Platinum Chiropractic Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 16, 2022; 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.