Active NPI
Gordon Harrison, DC
- Chiropractor
- El Dorado, KS
National Provider Identifier
1023157740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- T-01007
- Practice address
- 1200 W Central Ave
El Dorado, KS 67042-2123 - Phone
- (316) 321-6111
- Fax
- (316) 321-6111
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | T-01007 | KS | Primary |
Addresses
Primary practice location
1200 W Central Ave
El Dorado, KS 67042-2123
Mailing address
1200 W Central Ave
El Dorado, KS 67042-2123
Phone (316) 321-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-01007 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023157740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W CENTRAL AVE",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670422123",
"telephone_number": "316-321-6111",
"fax_number": "316-321-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W CENTRAL AVE",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670422123",
"telephone_number": "316-321-6111",
"fax_number": "316-321-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "GORDON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "T-01007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.