Degrado, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0103773 Issued in KS

Legal business name

DEGRADO, LTD

Doing business as

R.J. DeGrado

Practice address

1530 S Oliver St
Suite 171
Wichita, KS 67218-3240

Phone

(316) 686-7558

NPI assigned

Jun 11, 2008

Last updated

Jul 25, 2008By 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. Ralph Jerry Degrado, D.C.NPI 1386654929

Title

President of Corp

Phone

(316) 686-7558

Specialties & licenses 1

Addresses

Other names 1

• R.J. DeGrado Doing business as

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.

• Ralph Jerry Degrado, D.C.

  • Chiropractor
  • Wichita, KS
  • NPI 1386654929
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1689834988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S OLIVER ST",
            "address_2": "SUITE 171",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183240",
            "telephone_number": "316-686-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S OLIVER ST",
            "address_2": "SUITE 171",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183240",
            "telephone_number": "316-686-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGRADO, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "DEGRADO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT OF CORP",
        "authorized_official_telephone_number": "316-686-7558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0103773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.J. DeGrado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Defebaugh, COTA
• Heather Ann Deforeest, RPT
• Madeline Degenhardt
• James C Degner, MD
• Deidre D Degrado, CPM
• Ralph Jerry Degrado, D.C.
• Degraffenreid Chiropractic P.a.
• Aaron James Degraffenreid, D.C.
• Alicia Degraftenreed
• Dylan Degroot

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.