Organization Active NPI

Oak Creek Chiropractic, LLC.

  • Chiropractor
  • Ellsworth, KS
National Provider Identifier
1255889192
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105821 Issued in KS
Legal business name
OAK CREEK CHIROPRACTIC, LLC.
Practice address
1512 Aylward Avenue
Ellsworth, KS 67439-2341
Phone
(785) 472-2625
Fax
(785) 472-2627
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Dr. Lindsey Voeltz, D.C.NPI 1386192227
Title
Owner
Phone
(785) 472-2625

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0105821 KS Primary

Addresses

Primary practice location

1512 Aylward Avenue
Ellsworth, KS 67439-2341

Mailing address

1512 Aylward Avenue
Ellsworth, KS 67439-2341
Phone (785) 472-2625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161230001541 KS Part B Supplier - Clinic/Group Practice 1658652870 Receives reassigned benefits from 2 practitioners
Practice locations: Ellsworth, KS

National Provider Directory

National Provider Directory

Locations

1512 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-2625

Practitioners & affiliated clinicians

Practitioners 2

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": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1255889192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 AYLWARD AVENUE",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674392341",
            "telephone_number": "785-472-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 AYLWARD AVENUE",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674392341",
            "telephone_number": "785-472-2625",
            "fax_number": "785-472-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK CHIROPRACTIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2024-06-06",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "VOELTZ",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-472-2625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.