Dillinger Chiropractic Clinic, PA
Organization Active NPI Chiropractor · Wamego, KS
NPI 1477504348 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477504348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-04067 (KS)
- Legal business name
- DILLINGER CHIROPRACTIC CLINIC, PA
- Practice address
- 426 Lincoln St
Wamego, KS 66547-1632 - Phone
- (785) 456-7167
- Fax
- (785) 456-6602
- NPI assigned
- May 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kyle T Dillinger, D.C.
- Title
- President
- Phone
- (785) 456-7167
Practitioners 1
-
Kyle T Dillinger, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111201000632 | KS | Part B Supplier - Clinic/Group Practice | 3274707260 |
Receives reassigned benefits from 1 practitioner Practice locations: Wamego, KS |
National Provider Directory
Locations
426 Lincoln Ave
Wamego, KS 66547
Phone (785) 456-7167
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 01-04067 | KS | Yes |
Addresses
Primary practice location
426 Lincoln St
Wamego, KS 66547-1632
Mailing address
426 Lincoln St
Wamego, KS 66547-1632
Phone (785) 456-7167
Other providers in Wamego, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.