Active NPI
Seasons of Life Chiropractic Clinic, P.a.
- Chiropractor
- Derby, KS
National Provider Identifier
1508016981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05129
- Legal business name
- SEASONS OF LIFE CHIROPRACTIC CLINIC, P.A.
- Practice address
- 828 N Baltimore Ave
Derby, KS 67037-1865 - Phone
- (316) 788-2032
- NPI assigned
- Sep 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kyle York
- Title
- President
- Phone
- (316) 788-2032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05129 | KS | Primary |
Addresses
Primary practice location
828 N Baltimore Ave
Derby, KS 67037-1865
Mailing address
828 N Baltimore Ave
Derby, KS 67037-1865
Phone (316) 788-2032
National Provider Directory
National Provider DirectoryLocations
828 N Baltimore Ave
Derby, KS 67037
Phone (316) 788-2032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1508016981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 N BALTIMORE AVE",
"city": "DERBY",
"state": "KS",
"postal_code": "670371865",
"telephone_number": "316-788-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 N BALTIMORE AVE",
"city": "DERBY",
"state": "KS",
"postal_code": "670371865",
"telephone_number": "316-788-2032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEASONS OF LIFE CHIROPRACTIC CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "YORK",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "316-788-2032",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.