Coffeyville Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05505 Issued in KS

Legal business name

COFFEYVILLE CHIROPRACTIC

Practice address

411 1/2 W 11TH St
Coffeyville, KS 67337-5020

Phone

(620) 688-6159

Fax

(620) 688-6159

NPI assigned

Feb 20, 2013

Last updated

Jul 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Traeger Nelson Tvedten, D.C.NPI 1669725396

Title

Chiropractor

Phone

(620) 688-6159

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Traeger Nelson Tvedten, D.C.

  • Chiropractor
  • Coffeyville, KS
  • NPI 1669725396
  NPD (past) Authorized official

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1629318159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 1/2 W 11TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673375020",
            "telephone_number": "620-688-6159",
            "fax_number": "620-688-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 1/2 W 11TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673375020",
            "telephone_number": "620-688-6159",
            "fax_number": "620-688-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEYVILLE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "TVEDTEN",
        "authorized_official_first_name": "TRAEGER",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "620-688-6159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Casebeer, ARNP CNS
• Chan S Han MD PA (Dhan S Han MD)
• Daniel H Chappell, M.D.
• James Leroy Christensen, D.O.
• McKenzie Clay
• Coffeyville Doctors Clinic P a
• Coffeyville Emergency Physicians, LLC
• Coffeyville Family Practice Clinic, P.a.
• Coffeyville Family Practice Clinic, P.a. (Priority Health Of Coffeyville Urgent Care)
• Coffeyville Optic Shop LLC

• Chiropractor in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.