Organization Active NPI

Pick Chiropractic, P.a.

  • Sports Physician Chiropractor
  • Dodge City, KS
National Provider Identifier
1356492391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
01-03788 Issued in KS
Legal business name
PICK CHIROPRACTIC, P.A.
Practice address
2300 N 14TH Ave
Suite 200
Dodge City, KS 67801-2368
Phone
(620) 225-3411
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark D. Pick, D.C.
Title
Owner
Phone
(620) 225-3411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 01-03788 KS Primary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 006116 MO

Addresses

Primary practice location

2300 N 14TH Ave
Suite 200
Dodge City, KS 67801-2368

Mailing address

2300 N 14TH Ave
Suite 200
Dodge City, KS 67801-2368
Phone (620) 225-3411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225001197 KS Part B Supplier - Clinic/Group Practice 0446146401 Receives reassigned benefits from 1 practitioner
Practice locations: Dodge City, KS; Great Bend, KS; Greensburg, KS

National Provider Directory

National Provider Directory

Locations

2300 N 14th Ave
Ste 200
Dodge City, KS 67801
Phone (620) 222-5341

2124 Washington St
Great Bend, KS 67530
Phone (620) 225-3411

101 S Main St
Ste 206
Greensburg, KS 67054
Phone (620) 225-3411

Practitioners & affiliated clinicians

Practitioners 1

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356492391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N 14TH AVE",
            "address_2": "SUITE 200",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012368",
            "telephone_number": "620-225-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N 14TH AVE",
            "address_2": "SUITE 200",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012368",
            "telephone_number": "620-225-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICK CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-225-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "KS",
            "license": "01-03788",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "006116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.