Individual provider Active NPI

Zachary Craig Kadolph, D.C.

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1164742433
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010017038 Issued in MO
Practice address
10841 W 87TH St Ste 100
Overland Park, KS 66214-1660
Phone
(816) 806-1334
NPI assigned
Jun 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2010017038 MO Primary

Addresses

Primary practice location

10841 W 87TH St Ste 100
Overland Park, KS 66214-1660

Mailing address

10841 W 87TH St Ste 200
Overland Park, KS 66214-1660
Phone (913) 353-3377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140806002042 KS Practitioner - Chiropractic 3375677925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadolph Chiropractic LLCGroup PAC ID 1456686005, 3 clinicians

Practice addresses (Care Compare)

10841 W 87TH St
Suite 100
Overland Park, KS 66214-1660
Phone (913) 353-3377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010017038MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kadolph Chiropractic, LLC Chiropractor CurrentSince Jun 1, 2019 Accepting new patients
Case Ruckman DC PC Chiropractor PastSince Feb 27, 2021 Accepting new patients
Brittain Chiropractic Inc Chiropractor PastSince Feb 2, 2020 Accepting new patients

Locations

10841 W 87th St
Ste 100
Overland Park, KS 66214
Phone (816) 806-7178

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1164742433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10841 W 87TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141660",
            "telephone_number": "913-353-3377",
            "fax_number": "913-353-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 W 87TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141660",
            "telephone_number": "816-806-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADOLPH",
        "first_name": "ZACHARY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010017038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.