Organization Active NPI

Western Kansas Chiropractic LLC

  • Chiropractor
  • Scott City, KS
National Provider Identifier
1083010599
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05615 Issued in KS
Legal business name
WESTERN KANSAS CHIROPRACTIC LLC
Practice address
920 S Main St
Scott City, KS 67871-1819
Phone
(620) 872-3004
NPI assigned
Nov 10, 2014
Last updated
Dec 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Bronson BaberNPI 1760885867
Title
Member
Phone
(620) 376-8652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05615 KS Primary

Addresses

Primary practice location

920 S Main St
Scott City, KS 67871-1819

Mailing address

920 S Main St
Scott City, KS 67871-1819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150106000274 KS Part B Supplier - Clinic/Group Practice 0446573059 Receives reassigned benefits from 2 practitioners
Practice locations: Scott City, KS

National Provider Directory

National Provider Directory

Locations

920 S Main St
Scott City, KS 67871
Phone (620) 376-8652

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1083010599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S MAIN ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678711819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S MAIN ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678711819",
            "telephone_number": "620-872-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KANSAS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "BABER",
        "authorized_official_first_name": "BRONSON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "620-376-8652"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.