Decker Chiropractic Walk-in-Care, PA
Organization Active NPI Chiropractor · Olathe, KS
NPI 1265614010 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1265614010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-04124 (KS)
- Legal business name
- DECKER CHIROPRACTIC WALK-IN-CARE, PA
- Practice address
- 13025 S Mur Len Rd
Suite 100
Olathe, KS 66062-1230 - Phone
- (913) 829-5111
- Fax
- (913) 829-5179
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. George D Decker, DC
- Title
- Doctor/ Owner
- Phone
- (913) 829-5111
Practitioners 6
-
George D. Decker, D.C.
-
Brett Martin Dworkis, DC, CCSP
-
Sara Michelle Mitchell, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040402001102 | KS | Part B Supplier - Clinic/Group Practice | 3779575139 |
Receives reassigned benefits from 2 practitioners Practice locations: Olathe, KS |
National Provider Directory
Locations
13025 S Mur Len Rd
Ste 100
Olathe, KS 66062
Phone (913) 829-5111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 01-04124 | KS | Yes |
Addresses
Primary practice location
13025 S Mur Len Rd
Suite 100
Olathe, KS 66062-1230
Mailing address
13025 S Mur Len Rd
Suite 100
Olathe, KS 66062-1230
Phone (913) 829-5111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740223288 | Other | KS | NPI GROUP |
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.