Jacob W Priddle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-06183 Issued in KS

Practice address

830 Poyntz Ave
Manhattan, KS 66502-6055

Phone

(785) 537-9330

Fax

(785) 776-2437

NPI assigned

Mar 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ahc Chiropractic Group, P.a.

  • Chiropractor
  • Manhattan, KS
  • NPI 1386749562
  Medicare reassignment NPD
• John M Wertin D C P a

  • Chiropractor
  • Manhattan, KS
  • NPI 1447355631
  NPD (past)

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1760138580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026055",
            "telephone_number": "785-537-9330",
            "fax_number": "785-776-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026055",
            "telephone_number": "785-537-9330",
            "fax_number": "785-776-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDDLE",
        "first_name": "JACOB",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Pratt
• Premier Chiropractic & Wellness, P.a.
• Aubriana Price, RN
• Christina Price
• Lisa M Price, PA-C
• Katelyn Priddle
• Steven Allen Priddle, M.D.
• Primary Care Physicians of Manhattan
• Prism Diagnostics, LLC
• Kaylee Proctor, CD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.