Organization Active NPI

Kadakias LLC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1497498596
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Apr 16, 2022

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

Authorized official

Name
Vinay Panchal, DCNPI 1235616442
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230316001092 NE Part B Supplier - Clinic/Group Practice 2769856608 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.