Organization Active NPI

Kirby Chiropractic LLC

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1114090115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104408 Issued in KS
Legal business name
KIRBY CHIROPRACTIC LLC
Practice address
3040 S Seneca St
Ste 4
Wichita, KS 67217-3246
Phone
(316) 522-6702
Fax
(316) 522-7790
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth A Kirby, D.C.NPI 1255368718
Title
Member Manager
Phone
(316) 522-6702

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104408 KS Primary

Addresses

Primary practice location

3040 S Seneca St
Ste 4
Wichita, KS 67217-3246

Mailing address

3040 S Seneca St
Ste 4
Wichita, KS 67217-3246
Phone (316) 522-6702

National Provider Directory

National Provider Directory

Locations

3040 S Seneca St
Ste 4
Wichita, KS 67217
Phone (316) 522-6311

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114090115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 S SENECA ST",
            "address_2": "STE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173246",
            "telephone_number": "316-522-6702",
            "fax_number": "316-522-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 S SENECA ST",
            "address_2": "STE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173246",
            "telephone_number": "316-522-6702",
            "fax_number": "316-522-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "316-522-6702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.