Individual provider Active NPI

Ralph Steven Cardin, D.C.

  • Internist Chiropractor
  • Overland Park, KS
National Provider Identifier
1740375328
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
01-04542 Issued in KS
Practice address
9159 W. 133Rd St.
Overland Park, KS 66213
Phone
(913) 239-8501
Fax
(913) 239-8601
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 01-04542 KS Primary

Addresses

Primary practice location

9159 W. 133Rd St.
Overland Park, KS 66213

Mailing address

9159 W. 133Rd St.
Overland Park, KS 66213
Phone (913) 239-8501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000833 KS Practitioner - Chiropractic 7113822826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9159 W 133Rd St
Overland Park, KS 66213-4333
Phone (913) 239-8501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-04542KSMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cardin Chiropractic & Acupuncture Internist CurrentSince Nov 1, 2003 Accepting new patients

Locations

9159 W 133rd St
Overland Park, KS 66213
Phone (913) 239-8501

1612 Industrial Park Dr
Paola, KS 66071
Phone (913) 294-5301

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1740375328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9159 W. 133RD ST.",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-239-8501",
            "fax_number": "913-239-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159 W. 133RD ST.",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-239-8501",
            "fax_number": "913-239-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDIN",
        "first_name": "RALPH",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "KS",
            "license": "01-04542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.