Peter Matthew Wawers, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1153 Issued in NE

Practice address

3830 Adams St
Lincoln, NE 68504

Phone

(402) 464-5567

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lincoln Gateway Chiropractic

  • Chiropractor
  • Lincoln, NE
  • NPI 1962505131
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1972513430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 ADAMS ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041934",
            "telephone_number": "402-464-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 ADAMS ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68504",
            "telephone_number": "402-464-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWERS",
        "first_name": "PETER",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025151000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki Watton, PT
• Annette L F Watts, OT
• Jane Watts
• Korie- Ann Watts
• Lori Lynn Watts
• Jennifer Lynn Way
• Mya Nicole Way
• Jennifer Waye
• Wayne V Videtich DPM PC
• Wayne V Videtich DPM PC

• Chiropractor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.