James Othal Vrana II, D.C.
Individual provider Active NPI Chiropractor · Goddard, KS
NPI 1033414495 · NPPES record last updated Oct 2, 2013
Key facts
- NPI
- 1033414495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-05373 (KS)
- Practice address
- 219 N Main St
Goddard, KS 67052-8893 - Phone
- (316) 794-2347
- Fax
- (316) 794-2371
- NPI assigned
- Jan 17, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
219 N Main St
Goddard, KS 67052-8893
Phone (316) 794-2347
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110428000275 | KS | Practitioner - Chiropractic | 6406030402 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05373 | KS | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05373 | KS | Yes |
Addresses
Primary practice location
219 N Main St
Goddard, KS 67052-8893
Mailing address
219 N Main St
Goddard, KS 67052-8893
Phone (316) 794-2347
Other names
- Joey Vrana
Other providers in Goddard, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.