Daniel Lewis Strom, D.C.
Individual provider Active NPI Chiropractor · Edwardsville, KS
NPI 1457786766 · NPPES record last updated Sep 5, 2013
Key facts
- NPI
- 1457786766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-05566 (KS)
- Practice address
- 10601 Kaw Dr Ste 3-C
Edwardsville, KS 66111-1130 - Phone
- (337) 378-5544
- NPI assigned
- Sep 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05566 | KS | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05566 | KS | Yes |
Addresses
Primary practice location
10601 Kaw Dr Ste 3-C
Edwardsville, KS 66111-1130
Mailing address
10601 Kaw Dr Ste 3-C
Edwardsville, KS 66111-1130
Phone (337) 378-5544
Other providers in Edwardsville, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.