Ralph Jerry Degrado, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-03773 Issued in KS

Practice address

5119 E Kellogg Dr
Wichita, KS 67218-1625

Phone

(316) 686-7558

Fax

(775) 703-0118

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. R. Jerry Degrado Other name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Degrado, LTD

  • Chiropractor
  • Wichita, KS
  • NPI 1689834988
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1386654929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 E KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181625",
            "telephone_number": "316-686-7558",
            "fax_number": "775-703-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 E KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181625",
            "telephone_number": "316-686-7558",
            "fax_number": "775-703-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRADO",
        "first_name": "RALPH",
        "middle_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-03773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "DEGRADO",
            "middle_name": "JERRY",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Ann Deforeest, RPT
• Madeline Degenhardt
• James C Degner, MD
• Deidre D Degrado, CPM
• Degrado, LTD
• Degraffenreid Chiropractic P.a.
• Aaron James Degraffenreid, D.C.
• Alicia Degraftenreed
• Dylan Degroot
• William Judson Degroot

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.