Individual provider Active NPI

Sean D Krylie Flickinger, D.C.

  • Chiropractor
  • Dodge City, KS
National Provider Identifier
1154021715
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06255 Issued in KS
Practice address
210 E Frontview St Ste C
Dodge City, KS 67801-5072
Phone
(620) 371-6166
Fax
(620) 371-6371
NPI assigned
Mar 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06255 KS Primary

Addresses

Primary practice location

210 E Frontview St Ste C
Dodge City, KS 67801-5072

Mailing address

210 E Frontview St Ste C
Dodge City, KS 67801-5072
Phone (620) 371-6166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307001590 KS Practitioner - Chiropractic 5294108544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dodge City Chiropractic LLCGroup PAC ID 6002036142, 3 clinicians

Practice addresses (Care Compare)

210 E Frontview St
Suite C
Dodge City, KS 67801-5072
Phone (620) 371-6166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dodge City Chiropractic, LLC Chiropractor CurrentSince Mar 3, 2023 Accepting new patients

Locations

210 E Frontview St
Ste C
Dodge City, KS 67801
Phone (620) 371-6166

Organizations & group practices 1

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1154021715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E FRONTVIEW ST STE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678015072",
            "telephone_number": "620-371-6166",
            "fax_number": "620-371-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E FRONTVIEW ST STE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678015072",
            "telephone_number": "620-371-6166",
            "fax_number": "620-371-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICKINGER",
        "first_name": "SEAN D",
        "middle_name": "KRYLIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.