Organization Active NPI

Kadolph Chiropractic, LLC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1245793777
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KADOLPH CHIROPRACTIC, LLC
Practice address
10841 W 87TH St Ste 100
Overland Park, KS 66214-1660
Phone
(816) 806-7178
Fax
(913) 825-3901
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Zach Kadolph, D.C.
Title
President
Phone
(816) 806-7178

Specialties & licenses 1

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

Addresses

Primary practice location

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

Mailing address

10841 W 87TH St Ste 100
Overland Park, KS 66214-1660
Phone (816) 806-7178

Other identifiers 1

IdentifierTypeStateIssuer
1164742433OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190718001438 KS Part B Supplier - Clinic/Group Practice 1456686005 Receives reassigned benefits from 3 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

10841 W 87th St
Ste 100
Overland Park, KS 66214
Phone (913) 353-3377

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1245793777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10841 W 87TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141660",
            "telephone_number": "816-806-7178",
            "fax_number": "913-825-3901"
        },
        {
            "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": "816-806-7178",
            "fax_number": "913-825-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADOLPH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "KADOLPH",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-806-7178",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1164742433",
            "state": null
        }
    ],
    "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 Apr 11, 2019; 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.