Individual provider Active NPI

Anna B Bolz, D.C.

  • Chiropractor
  • Topeka, KS
National Provider Identifier
1376834978
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05400 Issued in KS
Practice address
4990 SW 21St St
Topeka, KS 66604-3980
Phone
(785) 272-2090
Fax
(785) 272-2671
NPI assigned
Apr 29, 2011
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05400 KS Primary

Addresses

Primary practice location

4990 SW 21St St
Topeka, KS 66604-3980

Mailing address

4990 SW 21St St
Topeka, KS 66604-3980
Phone (785) 272-2090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110622000449 KS Practitioner - Chiropractic 2466630496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bolz Chiropractic Clinic PAGroup PAC ID 6800835182, 3 clinicians

Practice addresses (Care Compare)

4990 SW 21 St St
Suite 1
Topeka, KS 66604-3980
Phone (785) 272-2090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05400KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bolz Chiropractic Clinic, PA Chiropractor CurrentSince Jun 17, 2013 Accepting new patients
Lucas Chiropractic, Inc. Chiropractor Past Accepting new patients

Locations

4990 SW 21st St
Ste 1
Topeka, KS 66604
Phone (785) 272-2090

Interoperability endpoints

  • Direct secure messaging: anna@blam0002.direct.chirotouch.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1376834978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 SW 21ST ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666043980",
            "telephone_number": "785-272-2090",
            "fax_number": "785-272-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 SW 21ST ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666043980",
            "telephone_number": "785-272-2090",
            "fax_number": "785-272-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLZ",
        "first_name": "ANNA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.