NPIMap

Organization Active NPI

TRD Chiropractic Inc

  • Chiropractor
  • Manhattan, KS
National Provider Identifier
1386969491
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04743 Issued in KS
Legal business name
TRD CHIROPRACTIC INC
Doing business as
Natural Health Care
Practice address
1130 Westport Dr
Suite 5
Manhattan, KS 66502-2863
Phone
(785) 539-9113
Fax
(785) 539-9118
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Dr. Thad Ryan Dall, D.C.NPI 1598877391
Title
President
Phone
(785) 539-9113

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-04743 KS Primary

Addresses

Primary practice location

1130 Westport Dr
Suite 5
Manhattan, KS 66502-2863

Mailing address

1130 Westport Dr
Suite 5
Manhattan, KS 66502-2863
Phone (785) 539-9113

Other names 1

  • Natural Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100623000697 KS Part B Supplier - Clinic/Group Practice 6305976762 Receives reassigned benefits from 5 practitioners
Practice locations: Manhattan, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1386969491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WESTPORT DR",
            "address_2": "SUITE 5",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022863",
            "telephone_number": "785-539-9113",
            "fax_number": "785-539-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 WESTPORT DR",
            "address_2": "SUITE 5",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022863",
            "telephone_number": "785-539-9113",
            "fax_number": "785-539-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRD CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "DALL",
        "authorized_official_first_name": "THAD",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-539-9113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.