NPIMap

Organization Active NPI

Koerner Chiropractic PA

Doing business as Koerner Chiropractic & Physical Therapy

  • Chiropractor
  • Hays, KS
National Provider Identifier
1215269253
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05244 Issued in KS
Legal business name
KOERNER CHIROPRACTIC PA
Doing business as
Koerner Chiropractic & Physical Therapy
Practice address
2707 Vine St
Suite 1
Hays, KS 67601-1949
Phone
(785) 628-2105
Fax
(785) 628-2165
NPI assigned
Feb 1, 2010
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Dr. Kenneth Joseph Koerner, DCNPI 1558501254
Title
Owner
Phone
(785) 628-2105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05244 KS Primary
Chiropractor 111N00000X 01-05404 KS
Physical Therapist 225100000X 11-02777 KS
Physical Therapy Assistant 225200000X 14-02184 KS

Addresses

Primary practice location

2707 Vine St
Suite 1
Hays, KS 67601-1949

Mailing address

2707 Vine St
Suite 1
Hays, KS 67601-1949
Phone (785) 628-2105

Other names 1

  • Koerner Chiropractic & Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100601000330 KS Part B Supplier - Clinic/Group Practice 8921137993 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Ellis, KS; Hays, KS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

105 W 9th St
Ellis, KS 67637
Phone (785) 726-3452

2707 Vine St
Ste 1
Hays, KS 67601
Phone (785) 628-2105

Practitioners & affiliated clinicians

Practitioners 6

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": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1215269253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 VINE ST",
            "address_2": "SUITE 1",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011949",
            "telephone_number": "785-628-2105",
            "fax_number": "785-628-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 VINE ST",
            "address_2": "SUITE 1",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011949",
            "telephone_number": "785-628-2105",
            "fax_number": "785-628-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOERNER CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "KOERNER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-628-2105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05244",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05404",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02777",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koerner Chiropractic & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.