Douglas Chiropractic, PA

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

01-04630 Issued in KS

Legal business name

DOUGLAS CHIROPRACTIC, PA

Practice address

1331 W 6TH Ave
Emporia, KS 66801-2564

Phone

(620) 343-9232

Fax

(620) 343-9232

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bryan E Douglas, D.C.

Title

Owner

Phone

(620) 343-9232

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184740540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W 6TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012564",
            "telephone_number": "620-343-9232",
            "fax_number": "620-343-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W 6TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012564",
            "telephone_number": "620-343-9232",
            "fax_number": "620-343-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-343-9232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "KS",
            "license": "01-04630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS",
            "identifier": "062136",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Emporia, KS by specialty
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• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.