Organization Active NPI

Miss Align Family Chiropractic, LLC

  • Clinic/Center
  • Wakeeney, KS
National Provider Identifier
1083065569
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
01-05800 Issued in KS
Legal business name
MISS ALIGN FAMILY CHIROPRACTIC, LLC
Practice address
216 N 6TH St
Wakeeney, KS 67672-2107
Phone
(785) 743-2188
NPI assigned
Jun 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Dr. Jessica Lynn Campbell, D.C.NPI 1841641313
Title
Owner
Phone
(785) 657-1086

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
Clinic/Center 261Q00000X 01-05800 KS Primary

Addresses

Primary practice location

216 N 6TH St
Wakeeney, KS 67672-2107

Mailing address

PO Box 284
Wakeeney, KS 67672-0284
Phone (785) 743-2188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160810001565 KS Part B Supplier - Clinic/Group Practice 3476847617 Receives reassigned benefits from 1 practitioner
Practice locations: Hoxie, KS

National Provider Directory

National Provider Directory

Locations

216 N 6th St
Wakeeney, KS 67672
Phone (785) 657-1086

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1083065569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676720284",
            "telephone_number": "785-743-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N 6TH ST",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676722107",
            "telephone_number": "785-743-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISS ALIGN FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-657-1086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "01-05800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakeeney, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.