Individual provider Active NPI

Melissa A Kabler, D.C.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1457338840
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04130 Issued in KS
Practice address
2434 N Woodlawn St
Suite 170
Wichita, KS 67220-3959
Phone
(316) 683-5490
Fax
(316) 683-0630
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04130 KS Primary

Addresses

Primary practice location

2434 N Woodlawn St
Suite 170
Wichita, KS 67220-3959

Mailing address

2434 N Woodlawn Blvd
Ste 170
Wichita, KS 67220-3959
Phone (316) 683-5490

Other identifiers 1

IdentifierTypeStateIssuer
060102OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000574 KS Practitioner - Chiropractic 6709771405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2434 N Woodlawn Blvd
Suite 170
Wichita, KS 67220-3959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-04130KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa a Kabler, D.C. P.a. Chiropractor CurrentSince Mar 12, 2012 Accepting new patients

Locations

2434 N Woodlawn Blvd
Ste 170
Wichita, KS 67220
Phone (316) 682-6211

Organizations & group practices 1

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1457338840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 N WOODLAWN BLVD",
            "address_2": "STE 170",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203959",
            "telephone_number": "316-683-5490",
            "fax_number": "316-683-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 N WOODLAWN ST",
            "address_2": "SUITE 170",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203959",
            "telephone_number": "316-683-5490",
            "fax_number": "316-683-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABLER",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "060102",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.