Augusta Chiropractic Health Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-4006 Issued in KS

Legal business name

AUGUSTA CHIROPRACTIC HEALTH CENTER, INC.

Practice address

514 State St
Augusta, KS 67010-1108

Phone

(316) 775-0077

Fax

(316) 775-2718

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mervin Dennis McCormac, D.C.

Title

President

Phone

(316) 775-0077

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1619087657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 OHIO ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101842",
            "telephone_number": "316-775-0077",
            "fax_number": "316-775-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101108",
            "telephone_number": "316-775-0077",
            "fax_number": "316-775-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA CHIROPRACTIC HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "MCCORMAC",
        "authorized_official_first_name": "MERVIN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-775-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-4006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1194753632",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS GROUP NUMBER",
            "identifier": "660063",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.