NPIMap

Organization Active NPI

Phillips Chiropractic P.a.

  • Chiropractor
  • Dodge City, KS
National Provider Identifier
1487818522
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
104908 Issued in KS
Legal business name
PHILLIPS CHIROPRACTIC P.A.
Practice address
2200 Summerlon Cir Ste D
Dodge City, KS 67801-2905
Phone
(620) 225-4139
Fax
(620) 225-4286
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Mr. James D Phillips, D.C.
Title
Owner
Phone
(620) 225-4139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 104908 KS Primary

Addresses

Primary practice location

2200 Summerlon Cir Ste D
Dodge City, KS 67801-2905

Mailing address

2200 Summerlon Cir Ste D
Dodge City, KS 67801-2905
Phone (620) 225-4139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080801000511 KS Part B Supplier - Clinic/Group Practice 2365516713 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
Practice locations: Dodge City, KS
O20100930091889 KS DME Supplier - Medical Supply Company 2365516713 Practice locations: Dodge City, KS

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1487818522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SUMMERLON CIR STE D",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012905",
            "telephone_number": "620-225-4139",
            "fax_number": "620-225-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SUMMERLON CIR STE D",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012905",
            "telephone_number": "620-225-4139",
            "fax_number": "620-225-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-225-4139",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "104908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.