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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050303000428 | KS | Practitioner - Chiropractic | 3577516426 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-C3907 | KS | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.