Active NPI
Koerner Chiropractic PA
Doing business as Koerner Chiropractic & Physical Therapy
- Chiropractor
- Ellis, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- KOERNER CHIROPRACTIC PA
- Doing business as
- Koerner Chiropractic & Physical Therapy
- Practice address
- 105 W 9TH St
Ellis, KS 67637-2206 - Phone
- (785) 726-3452
- Fax
- (785) 726-4007
- NPI assigned
- Mar 20, 2012
- Last updated
- Aug 13, 2024
- 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. Kenneth Joseph Koerner, DC
- Title
- Owner/President
- Phone
- (785) 628-2105
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary | |
| Physical Therapist | 225100000X | NU |
Addresses
Primary practice location
105 W 9TH St
Ellis, KS 67637-2206
Mailing address
105 W 9TH St
Ellis, KS 67637-2206
Phone (785) 726-3452
Other names 1
- Koerner Chiropractic & Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100601000330 | KS | Part B Supplier - Clinic/Group Practice | 8921137993 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ellis, KS; Hays, KS |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Koerner Chiropractic & Physical Therapy
- Chiropractor
- Hays, KS
- NPI 1215269253
O20100601000330
National Provider Directory
National Provider DirectoryLocations
1504 Vine St
#B
Hays, KS 67601
Phone (785) 628-2105
520 W Mill St
Plainville, KS 67663
Phone (785) 688-4277
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Hays, KS
- NPI 1558501254
-
- Physical Therapist
- Hays, KS
- NPI 1326698366
-
- Chiropractor
- Hays, KS
- NPI 1497049803
-
- Massage Therapist
- Hays, KS
- NPI 1114768504
-
- Physical Therapy Assistant
- Hays, KS
- NPI 1063856714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1578838868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W 9TH ST",
"city": "ELLIS",
"state": "KS",
"postal_code": "676372206",
"telephone_number": "785-726-3452",
"fax_number": "785-726-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 9TH ST",
"city": "ELLIS",
"state": "KS",
"postal_code": "676372206",
"telephone_number": "785-726-3452",
"fax_number": "785-726-4007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOERNER CHIROPRACTIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-20",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "KOERNER",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "785-628-2105",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Koerner Chiropractic & Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellis, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.