Broadway Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104690 Issued in KS

Legal business name

BROADWAY CHIROPRACTIC CLINIC LLC

Practice address

122 N Broadway St
Pittsburg, KS 66762-4819

Phone

(620) 232-9240

Fax

(620) 231-4990

NPI assigned

Apr 22, 2014

Last updated

Apr 22, 2014By 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. Timothy J Voss, D.C.NPI 1912993379

Title

Owner

Phone

(620) 232-9240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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.

• Timothy James Voss, DC

  • Sports Physician Chiropractor
  • Pittsburg, KS
  • NPI 1912993379
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1669892212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N BROADWAY ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667624819",
            "telephone_number": "620-232-9240",
            "fax_number": "620-231-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N BROADWAY ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667624819",
            "telephone_number": "620-232-9240",
            "fax_number": "620-231-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "VOSS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-232-9240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda S Brennan, APRN
• Michael Brennon
• Bridges Community Care LLC
• Bridges Community Care, LLC
• Geraldine Britt, NP
• Dustin James Brooks
• Kenneth Wayne Brooks, O.D.
• Thomas C. Brooks, O.D.
• Monte Broussard, DC
• Todd Brynds, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.

Verify at the official NPI Registry.