Individual provider Active NPI

Joseph Lee Vannicola, DC

  • Chiropractor
  • Manhattan, KS
National Provider Identifier
1447787015
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05844 Issued in KS
Practice address
2749 Pembrook PL
Manhattan, KS 66502-7482
Phone
(785) 537-2211
NPI assigned
May 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05844 KS Primary

Addresses

Primary practice location

2749 Pembrook PL
Manhattan, KS 66502-7482

Mailing address

755 Locust St
Lawrence, KS 66044-5447
Phone (785) 393-5309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170928000321 KS Practitioner - Chiropractic 0345514493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Nichols Chiropractic PAGroup PAC ID 4981630746, 4 clinicians

Practice addresses (Care Compare)

2749 Pembrook PL
Manhattan, KS 66502-7482
Phone (785) 537-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05844KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Konza Acupuncture & Herbal Medicine, LLC PastSince Sep 18, 2017 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1447787015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 LOCUST ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660445447",
            "telephone_number": "785-393-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 PEMBROOK PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665027482",
            "telephone_number": "785-537-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNICOLA",
        "first_name": "JOSEPH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 15, 2017; 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.