Organization Active NPI

Dulin Chiropractic, PA

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1275817082
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104917 Issued in KS
Legal business name
DULIN CHIROPRACTIC, PA
Practice address
13095 S Mur Len Rd
Ste 170
Olathe, KS 66062-1425
Phone
(913) 393-2611
Fax
(913) 393-3729
NPI assigned
Sep 29, 2011
Last updated
Nov 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Dr. Jeremy Dulin, D.C.NPI 1407057185
Title
Owner
Phone
(913) 226-8523

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 0104917 KS Primary

Addresses

Primary practice location

13095 S Mur Len Rd
Ste 170
Olathe, KS 66062-1425

Mailing address

13095 S Mur Len Rd
Ste 170
Olathe, KS 66062-1425
Phone (913) 393-2611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120112000026 KS Part B Supplier - Clinic/Group Practice 8921275199 Receives reassigned benefits from 1 practitioner
Practice locations: Olathe, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1275817082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13095 S MUR LEN RD",
            "address_2": "STE 170",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621425",
            "telephone_number": "913-393-2611",
            "fax_number": "913-393-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13095 S MUR LEN RD",
            "address_2": "STE 170",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621425",
            "telephone_number": "913-393-2611",
            "fax_number": "913-393-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULIN CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "DULIN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-226-8523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.