Southwest Chiropractic and Wellness, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05387 Issued in KS

Legal business name

SOUTHWEST CHIROPRACTIC AND WELLNESS, PA

Practice address

306 W Santa Fe Trail Blvd
Lakin, KS 67860-9454

Phone

(620) 355-4116

NPI assigned

Jan 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tyler R Riedl, D.C.NPI 1285872572

Title

President/Owner

Phone

(620) 355-4116

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Ray Riedl, D.C.

  • Chiropractor
  • Lakin, KS
  • NPI 1285872572
  Medicare reassignment NPD Authorized official
• William Scott Miller, D.C.

  • Chiropractor
  • Goodlettsville, TN
  • NPI 1750381653
  NPD (past)

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1467799809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SANTA FE TRAIL BLVD",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678609454",
            "telephone_number": "620-355-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SANTA FE TRAIL BLVD",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678609454",
            "telephone_number": "620-355-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CHIROPRACTIC AND WELLNESS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "RIEDL",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "620-355-4116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Saavedra, LMSW
• Hannah Joann Schauf, PA-C
• Shank Home LLC
• Payden Mae Shapland, PA-C
• Spencer Allen Shirk
• Danica Steinle
• Luz Tucker, REGISTERED NURSE
• Linzie M Vanatta, LMSW
• Ryan Veesart, LSCSW
• Sara Brianne Veesart, LMSW

• All providers in Lakin, KS
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.