Active NPI
Prohealth Chiropractic Wellness Centers, PA
- Chiropractor
- Garden City, KS
National Provider Identifier
1154751113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05109
- Legal business name
- PROHEALTH CHIROPRACTIC WELLNESS CENTERS, PA
- Practice address
- 2502 N John St
Suite B
Garden City, KS 67846-3072 - Phone
- (620) 271-0243
- Fax
- (620) 271-0218
- NPI assigned
- Nov 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Allen Yager, D.C.
- Title
- President
- Phone
- (620) 872-2310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05109 | KS | Primary |
Addresses
Primary practice location
2502 N John St
Suite B
Garden City, KS 67846-3072
Mailing address
2502 N John St
Suite B
Garden City, KS 67846-3072
Phone (620) 271-0243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121012000767 | KS | Part B Supplier - Clinic/Group Practice | 5193974863 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Garden City, KS; Scott City, KS |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Chiropractor
- Scott City, KS
- NPI 1063771343
O20121012000767
National Provider Directory
National Provider Directory- Tax ID family
- Prohealth Chiropractic Wellness Centers PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Scott City, KS
- NPI 1063771343
-
- Chiropractor
- Garden City, KS
- NPI 1922200138
Locations
2502 N John St
Ste B
Garden City, KS 67846
Phone (620) 214-0243
2502 N John St
Garden City, KS 67846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384214400000",
"number": "1154751113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 N JOHN ST",
"address_2": "SUITE B",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678463072",
"telephone_number": "620-271-0243",
"fax_number": "620-271-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 N JOHN ST",
"address_2": "SUITE B",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678463072",
"telephone_number": "620-271-0243",
"fax_number": "620-271-0218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTH CHIROPRACTIC WELLNESS CENTERS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-12",
"last_updated": "2013-11-12",
"status": "A",
"authorized_official_last_name": "YAGER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "620-872-2310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, KS
- Plaza Pharmacy, Inc
- Sonny Ray Porter, DDS
- Aimee Porterfield
- Prairie Sage Functional Medicine and Kinesiology LLC
- Prairieview Home Health, L.L.C.
- Prohealth Chiropractic Wellness Centers, PA
- Providence Professional Services, Inc.
- Providence Professional Services, LLC
- Tiffany Pruitt, R.N.
- R.D. Norris, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.