Active NPI
David A Hedman, D.C.
- Chiropractor
- Gardner, KS
National Provider Identifier
1386672590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-03371
- Practice address
- 1815 E Santa Fe St
Gardner, KS 66030-2500 - Phone
- (913) 884-2057
- Fax
- (913) 938-5246
- NPI assigned
- Jun 28, 2006
- Last updated
- Oct 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-03371 | KS | Primary |
Addresses
Primary practice location
1815 E Santa Fe St
Gardner, KS 66030-2500
Mailing address
1815 E Santa Fe St
Gardner, KS 66030-2500
Phone (913) 884-2057
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005462 | Other | KS | BLUECROSS BLUESHIELD KS |
| CS7033 | Other | KS | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-03371 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1386672590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 E SANTA FE ST",
"city": "GARDNER",
"state": "KS",
"postal_code": "660302500",
"telephone_number": "913-884-2057",
"fax_number": "913-938-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 E SANTA FE ST",
"city": "GARDNER",
"state": "KS",
"postal_code": "660302500",
"telephone_number": "913-884-2057",
"fax_number": "913-938-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDMAN",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-03371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD KS",
"identifier": "005462",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CS7033",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gardner, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.