Organization Active NPI

Lackey & Nielson Chiropractic PA

  • Chiropractor
  • Hutchinson, KS
National Provider Identifier
1518257252
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04521 Issued in KS
Legal business name
LACKEY & NIELSON CHIROPRACTIC PA
Practice address
30 W Sherman St
Hutchinson, KS 67501-5428
Phone
(620) 663-5632
Fax
(620) 663-4986
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Dr. Timothy Scott Lackey, D.C.NPI 1760482343
Title
Owner
Phone
(620) 663-5632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-04521 KS Primary

Addresses

Primary practice location

30 W Sherman St
Hutchinson, KS 67501-5428

Mailing address

30 W Sherman
Hutchinson, KS 67501
Phone (620) 663-5632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111104000616 KS Part B Supplier - Clinic/Group Practice 1456524511 Receives reassigned benefits from 2 practitioners
Practice locations: Hutchinson, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1518257252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W SHERMAN",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "67501",
            "telephone_number": "620-663-5632",
            "fax_number": "620-663-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W SHERMAN ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015428",
            "telephone_number": "620-663-5632",
            "fax_number": "620-663-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKEY & NIELSON CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-663-5632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.