Bruce A Veach, D.C.

Individual provider Active NPI Chiropractor · Kingman, KS

NPI 1740316702 · NPPES record last updated Oct 9, 2007

Key facts

NPI
1740316702
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
01-C3907 (KS)
Practice address
125 W a Ave
Kingman, KS 67068-1306
Phone
(620) 532-1111
Fax
(620) 532-3349
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 W a Ave
Kingman, KS 67068-1306
Phone (620) 532-1111

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050303000428 KS Practitioner - Chiropractic 3577516426 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
01-C3907KSMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-C3907 KS Yes

Addresses

Primary practice location

125 W a Ave
Kingman, KS 67068-1306

Mailing address

125 W a Ave
Kingman, KS 67068-1306
Phone (620) 532-1111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2007.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1740316702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W A AVE",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681306",
            "telephone_number": "620-532-1111",
            "fax_number": "620-532-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W A AVE",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681306",
            "telephone_number": "620-532-1111",
            "fax_number": "620-532-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEACH",
        "first_name": "BRUCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-C3907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, KS

All providers in Kingman, KS · Chiropractor in Kansas

Sources for this page

Verify at the official NPI Registry.