Eldoks Chiropractic and Rehab
Organization Active NPI Chiropractor · El Dorado, KS
NPI 1487347241 · NPPES record last updated Jun 21, 2023
Key facts
- NPI
- 1487347241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ELDOKS CHIROPRACTIC AND REHAB
- Practice address
- 1419 W Central Ave
El Dorado, KS 67042-2222 - Phone
- (316) 251-3550
- NPI assigned
- May 30, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew Zimmer, DC
- Title
- Owner/Clinician
- Phone
- (316) 251-3550
Practitioners 1
-
Andrew Zimmer, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230615002577 | KS | Part B Supplier - Clinic/Group Practice | 0648638106 |
Receives reassigned benefits from 1 practitioner Practice locations: El Dorado, KS |
National Provider Directory
Locations
1419 W Central Ave
El Dorado, KS 67042
Phone (316) 251-3550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1419 W Central Ave
El Dorado, KS 67042-2222
Mailing address
1419 W Central Ave
El Dorado, KS 67042-2222
Other providers in El Dorado, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2023. 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.