Individual provider Active NPI

Kevin Lee Huber, D.C., B.A.

  • Chiropractor
  • La Vista, NE
National Provider Identifier
1679238968
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2106 Issued in NE
Practice address
10351 Portal Rd Ste 103
La Vista, NE 68128-5543
Phone
(402) 339-2283
Fax
(402) 339-2289
NPI assigned
Nov 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2106 NE Primary

Addresses

Primary practice location

10351 Portal Rd Ste 103
La Vista, NE 68128-5543

Mailing address

10351 Portal Rd Ste 103
La Vista, NE 68128-5543
Phone (403) 339-2283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215000697 NE Practitioner - Chiropractic 9931590536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Active Family Chiropractic and Acupuncture PC Chiropractor CurrentSince Feb 5, 2024 Accepting new patients

Locations

705 N Webb Rd
Grand Island, NE 68803
Phone (308) 384-4955

2441 N Diers Ave
Grand Island, NE 68803
Phone (308) 384-4955

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1679238968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10351 PORTAL RD STE 103",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285543",
            "telephone_number": "403-339-2283",
            "fax_number": "402-339-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10351 PORTAL RD STE 103",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285543",
            "telephone_number": "402-339-2283",
            "fax_number": "402-339-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C., B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.