Organization Active NPI

Seasons of Life Chiropractic Clinic, P.a.

  • Chiropractor
  • Derby, KS
National Provider Identifier
1508016981
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05129 Issued in KS
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

Updated by the provider on Sep 23, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.