Organization Active NPI

Midway Chiropractic, L.L.C.

  • Chiropractor
  • Smith Center, KS
National Provider Identifier
1265674667
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05257 Issued in KS
Legal business name
MIDWAY CHIROPRACTIC, L.L.C.
Practice address
717 E 2ND St
Smith Center, KS 66967-2328
Phone
(785) 282-6818
Fax
(785) 282-6819
NPI assigned
Mar 31, 2009
Last updated
Mar 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Dr. Michele L Goscha, D.C.NPI 1386886786
Title
Provider
Phone
(785) 282-6818

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
Chiropractor 111N00000X 01-05257 KS Primary

Addresses

Primary practice location

717 E 2ND St
Smith Center, KS 66967-2328

Mailing address

717 E 2ND St
Smith Center, KS 66967-2328
Phone (785) 282-6818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090420000535 KS Part B Supplier - Clinic/Group Practice 2466509906 Receives reassigned benefits from 2 practitioners
Practice locations: Selden, KS; Smith Center, KS

National Provider Directory

National Provider Directory

Locations

105 S Kansas Ave
Selden, KS 67757
Phone (785) 282-6818

717 E 2nd St
Smith Center, KS 66967
Phone (785) 282-6818

Practitioners & affiliated clinicians

Practitioners 2

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": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1265674667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E 2ND ST",
            "city": "SMITH CENTER",
            "state": "KS",
            "postal_code": "669672328",
            "telephone_number": "785-282-6818",
            "fax_number": "785-282-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E 2ND ST",
            "city": "SMITH CENTER",
            "state": "KS",
            "postal_code": "669672328",
            "telephone_number": "785-282-6818",
            "fax_number": "785-282-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "GOSCHA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "785-282-6818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smith Center, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.