Individual provider Active NPI

Thad R Dall, D.C.

  • Chiropractor
  • Manhattan, KS
National Provider Identifier
1598877391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
1130 Westport Dr
Suite 5
Manhattan, KS 66502-2863
Phone
(785) 539-9113
Fax
(785) 539-9118
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X KS Primary

Addresses

Primary practice location

1130 Westport Dr
Suite 5
Manhattan, KS 66502-2863

Mailing address

1130 Westport Dr
Suite 5
Manhattan, KS 66502-2863
Phone (785) 539-9113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000676 KS Practitioner - Chiropractic 1456396761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TRD Chiropractic IncGroup PAC ID 6305976762, 5 clinicians

Practice addresses (Care Compare)

1130 Westport Dr
Suite 5
Manhattan, KS 66502-2863
Phone (785) 539-9113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TRD Chiropractic Inc Chiropractor CurrentSince Jun 1, 2010 Accepting new patients
Chiropractic Natural Health Care Incorporated Chiropractor Past Accepting new patients

Locations

1130 Westport Dr
Ste 5
Manhattan, KS 66502
Phone (785) 539-9113

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598877391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WESTPORT DR",
            "address_2": "SUITE 5",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022863",
            "telephone_number": "785-539-9113",
            "fax_number": "785-539-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 WESTPORT DR",
            "address_2": "SUITE 5",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022863",
            "telephone_number": "785-539-9113",
            "fax_number": "785-539-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALL",
        "first_name": "THAD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.