Organization Active NPI

Pro Health Inc.

  • Chiropractor
  • Clay Center, KS
National Provider Identifier
1174535140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRO HEALTH INC.
Practice address
627 Court St
Clay Center, KS 67432-2607
Phone
(785) 632-2211
NPI assigned
Aug 11, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Tami A Converse
Title
President
Phone
(785) 632-2211

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050426001257 KS Part B Supplier - Clinic/Group Practice 7416996798 Receives reassigned benefits from 3 practitioners
Practice locations: Clyde, KS; Clay Center, KS; Juction City, KS

National Provider Directory

National Provider Directory

Locations

627 Court St
Clay Center, KS 67432
Phone (785) 632-2211

1102 W Ash St
Junction City, KS 66441
Phone (785) 238-5240

1034 W 8th St
Junction City, KS 66441
Phone (785) 238-5240

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

627 Court St
Clay Center, KS 67432-2607

Mailing address

627 Court St
Clay Center, KS 67432-2607
Phone (785) 632-2211

Other names 1

NPPES NPI Registry
  • Clay Center Chiropractic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174535140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 COURT ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322607",
            "telephone_number": "785-632-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 COURT ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322607",
            "telephone_number": "785-632-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONVERSE",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-632-2211",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay Center Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clay Center, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.