Individual provider Active NPI

Edward Scott Coyle, DC

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1144239062
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05870 Issued in KS
Practice address
1820 W 6TH St
Lawrence, KS 66044-1709
Phone
(785) 856-7600
Fax
(785) 856-7511
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05870 KS Primary

Addresses

Primary practice location

1820 W 6TH St
Lawrence, KS 66044-1709

Mailing address

1820 W 6TH St
Lawrence, KS 66044-1709
Phone (785) 856-7600

Other identifiers 1

IdentifierTypeStateIssuer
1148999MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001528 IA Practitioner - Chiropractic 3779521414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vero Chiropractic PLLC 9 clinicians

Practice addresses (Care Compare)

630 S 50TH St
West Des Moines, IA 50265-6992
Phone (515) 422-9552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05870KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vero Chiropractic PLLC Chiropractor CurrentSince Jan 6, 2020 Accepting new patients
Vero LLC Chiropractor CurrentSince Sep 11, 2022 Accepting new patients
Schroeder Wellness Center, Inc. Chiropractor PastSince Feb 18, 2008 Accepting new patients

Locations

5525 Mills Civic Pkwy
Ste 120A
West Des Moines, IA 50266
Phone (515) 422-9552

630 S 50th St
West Des Moines, IA 50265
Phone (515) 422-9552

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1144239062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441709",
            "telephone_number": "785-856-7600",
            "fax_number": "785-856-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441709",
            "telephone_number": "785-856-7600",
            "fax_number": "785-856-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "EDWARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148999",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.