Individual provider Active NPI

Chad Erin Hackel, DC

  • Chiropractor
  • Broken Bow, NE
National Provider Identifier
1679647804
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1282 Issued in NE
Practice address
606 South 9TH Ave
Broken Bow, NE 68822-2408
Phone
(308) 872-2171
Fax
(308) 872-6093
NPI assigned
Nov 20, 2006
Last updated
Mar 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1282 NE Primary

Addresses

Primary practice location

606 South 9TH Ave
Broken Bow, NE 68822-2408

Mailing address

606 South 9TH Ave
Broken Bow, NE 68822-2408
Phone (308) 872-2171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000522 NE Practitioner - Chiropractic 3870622301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

606 S 9TH Ave
Broken Bow, NE 68822-2408
Phone (308) 872-2171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1282NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Backbone of Healthcare PC Chiropractor CurrentSince Jan 2, 2003 Accepting new patients

Locations

606 S 9th Ave
Broken Bow, NE 68822
Phone (308) 872-2171

Interoperability endpoints

  • Direct secure messaging: ceh1975@bohp0001.direct.chirotouch.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1679647804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 SOUTH 9TH AVE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222408",
            "telephone_number": "308-872-2171",
            "fax_number": "308-872-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SOUTH 9TH AVE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222408",
            "telephone_number": "308-872-2171",
            "fax_number": "308-872-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKEL",
        "first_name": "CHAD",
        "middle_name": "ERIN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.