Individual provider Active NPI

Kenneth Edward Reckelhoff, D.C.

  • Radiology Chiropractor
  • Overland Park, KS
National Provider Identifier
1588842215
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
01-06098 Issued in KS
Practice address
10850 Lowell Ave
Overland Park, KS 66210-1613
Phone
(913) 234-0600
NPI assigned
Feb 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X 2008010465 MO
Radiology Chiropractor 111NR0200X 13668 TX
Radiology Chiropractor 111NR0200X 01-06098 KS Primary

Addresses

Primary practice location

10850 Lowell Ave
Overland Park, KS 66210-1613

Mailing address

10850 Lowell Ave
Overland Park, KS 66210-1613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01-06098KSMDRadiology Chiropractor
2008010465MOMDRadiology Chiropractor
13668TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1588842215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 LOWELL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 LOWELL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101613",
            "telephone_number": "913-234-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKELHOFF",
        "first_name": "KENNETH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "MO",
            "license": "2008010465",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "TX",
            "license": "13668",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "KS",
            "license": "01-06098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.