Kidwell Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-04904 Issued in KS

Legal business name

KIDWELL CHIROPRACTIC LLC

Practice address

106 W 8TH St Ste a
Horton, KS 66439-1666

Phone

(913) 575-0763

Fax

(785) 264-4702

NPI assigned

Jul 22, 2006

Last updated

Jun 22, 2023By 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. Ashley Thomas Kidwell, D.C.NPI 1164474169

Title

Chiropractor

Phone

(913) 575-0763

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• Ashley Thomas Kidwell, D.C.

  • Chiropractor
  • Horton, KS
  • NPI 1164474169
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1699796698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "HORTON",
            "state": "KS",
            "postal_code": "664390106",
            "telephone_number": "913-575-0763",
            "fax_number": "785-264-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W 8TH ST STE A",
            "city": "HORTON",
            "state": "KS",
            "postal_code": "664391666",
            "telephone_number": "913-575-0763",
            "fax_number": "785-264-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDWELL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "KIDWELL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "913-575-0763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS PROVIDER ID",
            "identifier": "062327",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "660153",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "062327",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBS OF KS GROUP ID",
            "identifier": "660153",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Lee Hochstetler, DDS
• Horton Family Medicine
• Danielle Marie Keepes, DDS
• Kickapoo Nation Health Center
• Kickapoo Tribe in Kansas (Kickapoo Nation Health Center)
• Ashley Thomas Kidwell, D.C.
• Michelle Lynne Koch, ARNP-C
• Jaycee McAfee
• Kayla McLinn, PHARMD
• Mission Village Living Center, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.