Randall R Hafner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

C3369 Issued in KS

Practice address

720 6TH St
Clay Center, KS 67432-2915

Phone

(785) 632-5983

Fax

(785) 632-5983

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pyle Chiropractic, P.a.

  • Chiropractor
  • Clay Center, KS
  • NPI 1164739744
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1124127014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 6TH ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322915",
            "telephone_number": "785-632-5983",
            "fax_number": "785-632-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 6TH ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322915",
            "telephone_number": "785-632-5983",
            "fax_number": "785-632-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFNER",
        "first_name": "RANDALL",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "C3369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "007100",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent Edwin Erickson, MD
• Joseph Garrett Ferguson, DDS
• Jericho Fief, COTA
• Joshua B Girard, D.C.
• Austin Keith Gydesen, APRN
• Sue Ann Hamon, PHARMD
• Kelly Harness, DMD
• Kathryn Ann Heins-Erickson, APRN
• Hiesterman Family Eye Care, LLC
• Ryan Lee Hiesterman, O.D.

• All providers in Clay Center, KS
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.