Organization Active NPI

Ridgeview Chiropractic LLC

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1114226420
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104897 Issued in KS
Legal business name
RIDGEVIEW CHIROPRACTIC LLC
Practice address
17775 W 106TH St Ste 105
Olathe, KS 66061-2881
Phone
(913) 890-7370
Fax
(913) 890-7372
NPI assigned
Mar 25, 2011
Last updated
Mar 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Craig Koshlap, D.C.NPI 1063576023
Title
Sole Owner
Phone
(913) 485-3427

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 0104897 KS Primary

Addresses

Primary practice location

17775 W 106TH St Ste 105
Olathe, KS 66061-2881

Mailing address

17775 W 106TH St Ste 105
Olathe, KS 66061-2881
Phone (913) 890-7370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110614000130 KS Part B Supplier - Clinic/Group Practice 9830376169 Receives reassigned benefits from 1 practitioner
Practice locations: Olathe, KS

National Provider Directory

National Provider Directory

Locations

17775 W 106th St
Ste 105
Olathe, KS 66061
Phone (913) 890-7370

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1114226420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17775 W 106TH ST STE 105",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612881",
            "telephone_number": "913-890-7370",
            "fax_number": "913-890-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17775 W 106TH ST STE 105",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612881",
            "telephone_number": "913-890-7370",
            "fax_number": "913-890-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "KOSHLAP",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "913-485-3427",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.