Active NPI
Brent L Kesler, D.C.
- Chiropractor
- Ottawa, KS
National Provider Identifier
1689675704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04862
- Practice address
- 112 E 17TH St
Ottawa, KS 66067-3800 - Phone
- (785) 242-9393
- Fax
- (785) 242-9394
- NPI assigned
- Aug 10, 2005
- Last updated
- May 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04862 | KS | Primary |
Addresses
Primary practice location
112 E 17TH St
Ottawa, KS 66067-3800
Mailing address
17350 W 163Rd St
Olathe, KS 66062-8224
Phone (913) 568-9580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062048 | Other | KS | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04862 | KS | MD | Mental Health Counselor |
| 01-04862 | KS | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Ottawa, KS
- NPI 1336237379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1689675704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17350 W 163RD ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660628224",
"telephone_number": "913-568-9580",
"fax_number": "913-273-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E 17TH ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673800",
"telephone_number": "785-242-9393",
"fax_number": "785-242-9394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESLER",
"first_name": "BRENT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "062048",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.