Organization Active NPI

Rudy C Sasina LLC

Doing business as Kingman Chiropractic Center

  • Clinic/Center
  • Kingman, KS
National Provider Identifier
1760711667
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4866 Issued in KS
Legal business name
RUDY C SASINA LLC
Doing business as
Kingman Chiropractic Center
Practice address
108 N Main St
Kingman, KS 67068-1301
Phone
(620) 532-2225
Fax
(620) 532-3621
NPI assigned
Dec 24, 2009
Last updated
Dec 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Authorized official

Name
Dr. Rudy Charles Sasina, D.C.
Title
Owner
Phone
(620) 532-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4866 KS Primary

Addresses

Primary practice location

108 N Main St
Kingman, KS 67068-1301

Mailing address

108 N Main St
Kingman, KS 67068-1301
Phone (620) 532-2225

Other identifiers 1

IdentifierTypeStateIssuer
062043OtherKSPROVIDER NUMBER

Other names 1

  • Kingman Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100329001010 KS Part B Supplier - Clinic/Group Practice 9739215716 Receives reassigned benefits from 1 practitioner
Practice locations: Pratt, KS; Kingman, KS

National Provider Directory

National Provider Directory

Locations

108 N Main St
Kingman, KS 67068
Phone (620) 532-2225

219 S Ninnescah St
#54
Pratt, KS 67124
Phone (620) 672-7443

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1760711667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N MAIN ST",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681301",
            "telephone_number": "620-532-2225",
            "fax_number": "620-532-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MAIN ST",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681301",
            "telephone_number": "620-532-2225",
            "fax_number": "620-532-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDY C SASINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "SASINA",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-532-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "4866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "062043",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingman Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingman, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.