Darrel Kenneth Loder, DC
Individual provider Active NPI Chiropractor · Lindsborg, KS
NPI 1124137229 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124137229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4289 (KS)
- Practice address
- 121 W Lincoln St
Lindsborg, KS 67456-2318 - Phone
- (785) 227-4455
- Fax
- (785) 227-2028
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
121 W Lincoln St
Lindsborg, KS 67456-2318
Phone (785) 227-4455
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090109000128 | KS | Practitioner - Chiropractic | 7214090794 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4289 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smoky Valley Chiropractic, PA | Chiropractor | Current |
Accepting new patients |
Locations
121 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-4455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4289 | KS | Yes |
Addresses
Primary practice location
121 W Lincoln St
Lindsborg, KS 67456-2318
Mailing address
121 W Lincoln St
Lindsborg, KS 67456-2318
Phone (785) 227-4455
Other providers in Lindsborg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.