Organization Active NPI

Kansas Chiropractic Clinics, LLC

  • Health Service Clinic/Center
  • Derby, KS
National Provider Identifier
1306021860
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
01-03389 Issued in KS
Legal business name
KANSAS CHIROPRACTIC CLINICS, LLC
Practice address
431 Timber Ridge Cir
Derby, KS 67037-3637
Phone
(316) 644-4558
NPI assigned
Jan 3, 2008
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Robert Gordon Gage, D.C.NPI 1346215258
Title
Owner
Phone
(316) 644-4558

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
Health Service Clinic/Center 261QH0100X 01-03389 KS Primary

Addresses

Primary practice location

431 Timber Ridge Cir
Derby, KS 67037-3637

Mailing address

431 Timber Ridge Cir
Derby, KS 67037-3637
Phone (316) 644-4558

National Provider Directory

National Provider Directory

Locations

524 Market St
Osage City, KS 66523
Phone (785) 272-4242

209 W Main St
Ste M
Valley Center, KS 67147
Phone (316) 755-9898

Practitioners & affiliated clinicians

Practitioners 9

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306021860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 TIMBER RIDGE CIR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373637",
            "telephone_number": "316-644-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 TIMBER RIDGE CIR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373637",
            "telephone_number": "316-644-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CHIROPRACTIC CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-644-4558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KS",
            "license": "01-03389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.