Prairie Village Chiropractic, PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

01-04796 Issued in KS

Legal business name

PRAIRIE VILLAGE CHIROPRACTIC, PA

Practice address

9401 Nall Ave
Prairie Village, KS 66207-2515

Phone

(913) 948-6602

Fax

(913) 948-6603

NPI assigned

Feb 6, 2009

Organization subpart

No

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

Authorized official

Name

Angela Ribaste

Title

DC

Phone

(913) 948-6602

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1033358585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 NALL AVE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 NALL AVE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072515",
            "telephone_number": "913-948-6602",
            "fax_number": "913-948-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE VILLAGE CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "RIBASTE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "913-948-6602"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "KS",
            "license": "01-04796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31252015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Preferred Provider Organization in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.