Etherton Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05700 Issued in KS

Legal business name

ETHERTON CHIROPRACTIC LLC

Doing business as

Etherton Chiropractic

Practice address

917 Pine Ave B
Hoxie, KS 67740

Phone

(785) 677-3944

Fax

(785) 677-3988

NPI assigned

Jun 9, 2015

Last updated

Jun 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Etherton, D.C.NPI 1851716641

Title

Owner/Chiropractor

Phone

(785) 677-3944

Specialties & licenses 1

Addresses

Other names 1

• Etherton Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Etherton, D.C.

  • Chiropractor
  • Beatrice, NE
  • NPI 1851716641

  KS

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1053792606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "HOXIE",
            "state": "KS",
            "postal_code": "677400625",
            "telephone_number": "785-677-3944",
            "fax_number": "785-677-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 PINE AVE B",
            "city": "HOXIE",
            "state": "KS",
            "postal_code": "67740",
            "telephone_number": "785-677-3944",
            "fax_number": "785-677-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHERTON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "ETHERTON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "785-677-3944",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Etherton Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Rose Bainter, LSCSW
• Rebecca Sue Baker, PT,DPT
• County of Sheridan (Sheridan County EMS)
• David N Heskett DC LLC
• Jodi J Dumler, LSCSW
• Morgan Rae Farber
• Joshua Gaede, MD
• Chris Hansen, PA-C
• David Neal Heskett, DC
• Debra Sue Hill, CPTA

• Chiropractor in Hoxie, KS
• Providers in Hoxie, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.