Active NPI
Ottawa Chiropractic Clinic PA
- Chiropractor
- Ottawa, KS
National Provider Identifier
1669550026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- OTTAWA CHIROPRACTIC CLINIC PA
- Practice address
- 1501 S Main St
Ottawa, KS 66067-3802 - Phone
- (785) 242-4100
- Fax
- (785) 242-4121
- NPI assigned
- Nov 2, 2006
- Last updated
- Oct 17, 2012
- 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
- Debbie D Holstine
- Title
- Insurance Manager
- Phone
- (785) 242-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
1501 S Main St
Ottawa, KS 66067-3802
Mailing address
1501 S Main St
Ottawa, KS 66067-3802
Phone (785) 242-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014267 | Other | KS | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1501 S Main St
Ottawa, KS 66067
Phone (785) 242-4100
Practitioners & affiliated clinicians
Practitioners 2
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
- Ottawa, KS
- NPI 1841309085
-
- Chiropractor
- Ottawa, KS
- NPI 1043329295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350432000000",
"number": "1669550026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673802",
"telephone_number": "785-242-4100",
"fax_number": "785-242-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673802",
"telephone_number": "785-242-4100",
"fax_number": "785-242-4121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTAWA CHIROPRACTIC CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2012-10-17",
"status": "A",
"authorized_official_last_name": "HOLSTINE",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "INSURANCE MANAGER",
"authorized_official_telephone_number": "785-242-4100"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "014267",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, KS
- Susan Marie Osladil, RN
- Meghan Othick, MA, CCC-SLP
- Sospeter Otieno, APRN
- Drew William Ott, PT, DPT
- Ottawa Anesthesia LLC
- Ottawa Family Physicians, Chartered
- Ottawa Family Physicians, Chartered
- Ottawa Healthcare LLC (Rock Creek of Ottawa)
- Ottawa Healthcare LLC (Rock Creek of Ottawa)
- Ottawa Medical Services, Inc. (Ottawa West)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.