Organization Active NPI

Melissa a Kabler, D.C. P.a.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1205109386
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04130 Issued in KS
Legal business name
MELISSA A KABLER, D.C. P.A.
Practice address
2434 N Woodlawn Blvd Ste 170
Wichita, KS 67220-3959
Phone
(316) 683-5490
Fax
(316) 683-0630
NPI assigned
Feb 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
Melisssa A Kabler, D.C.
Title
Owner
Phone
(316) 683-5490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-04130 KS Primary

Addresses

Primary practice location

2434 N Woodlawn Blvd Ste 170
Wichita, KS 67220-3959

Mailing address

2434 N Woodlawn Blvd Ste 170
Wichita, KS 67220-3959
Phone (316) 683-5490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000848 KS Part B Supplier - Clinic/Group Practice 3072772920 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1205109386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 N WOODLAWN BLVD STE 170",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203959",
            "telephone_number": "316-683-5490",
            "fax_number": "316-683-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 N WOODLAWN BLVD STE 170",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203959",
            "telephone_number": "316-683-5490",
            "fax_number": "316-683-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA A KABLER, D.C. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "KABLER",
        "authorized_official_first_name": "MELISSSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-683-5490",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.