Phillips Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-04908

Legal business name

PHILLIPS CHIROPRACTIC, PA

Doing business as

PT Works

Practice address

1909 N 14TH Ave
Suite C
Dodge City, KS 67801-2364

Phone

(620) 338-8633

Fax

(620) 338-8121

NPI assigned

Jan 27, 2012

Organization subpart

Yes

Parent organization

PHILLIPS CHIROPRACTIC, PAAs reported in NPPES

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

Authorized official

Name

Dr. Jammie D Phillips, D.C.

Title

President

Phone

(620) 225-4139

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• PT Works Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Phillips Chiropractic P.a.

  • Chiropractor
  • Dodge City, KS
  • NPI 1487818522

  O20080801000511

  Same enrollment
• Phillips Chiropractic P.a.

  dba DCMC Physical Therapy

  • Physical Therapist
  • Dodge City, KS
  • NPI 1780233197

  O20080801000511

  Same enrollment

Part of

Phillips Chiropractic PA

Practitioners 1

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

• Stephanie A Hornung, RPT

  • Physical Therapist
  • Dodge City, KS
  • NPI 1477702249
  NPD

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1508138280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 N 14TH AVE",
            "address_2": "SUITE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012364",
            "telephone_number": "620-338-8633",
            "fax_number": "620-338-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N 14TH AVE",
            "address_2": "SUITE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012364",
            "telephone_number": "620-338-8633",
            "fax_number": "620-338-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS CHIROPRACTIC, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILLIPS CHIROPRACTIC, PA",
        "enumeration_date": "2012-01-27",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAMMIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-225-4139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "01-04908",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "11-03352",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "11-04738",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200631040A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Christopher Peters, D.C.
• Pharmacy Associates of Dodge City, Inc (Gibson's Pharmacy)
• Pharmacy Associates of Dodge City, Inc (Gibson's Pharmacy)
• Phillips Chiropractic P.a.
• Phillips Chiropractic P.a. (DCMC Physical Therapy)
• Jammie D Phillips, D. C.
• Physical Therapy Works LLC
• Pick Chiropractic, P.a.
• Mark D Pick, DC
• Playful Journeys LLC

• Chiropractor in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.