Phillips Chiropractic, P.a.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

16-104621 Issued in KS

Legal business name

PHILLIPS CHIROPRACTIC, P.A.

Doing business as

Phillips Durable Medical Equipment

Practice address

311 E Spruce St
Garden City, KS 67846-5614

Phone

(620) 260-2199

Fax

(620) 260-2715

NPI assigned

Jun 29, 2017

Last updated

Dec 26, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

PHILLIPS CHIROPRACTIC, P.A.As reported in NPPES

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

Authorized official

Name

Darrell Gene RothsNPI 1831405752

Title

Director

Phone

(620) 225-4139

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Phillips Durable Medical Equipment Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Phillips Chiropractic PA

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.

• Darrell Gene Roths Jr., CPTA

  • Physical Therapy Assistant
  • Dodge City, KS
  • NPI 1831405752
  Authorized official Same address or phone

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1770004855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1208",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678011208",
            "telephone_number": "620-225-4139",
            "fax_number": "620-225-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465614",
            "telephone_number": "620-260-2199",
            "fax_number": "620-260-2715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 N 14th Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678012365",
            "country_code": "US",
            "telephone_number": "620-338-8633",
            "fax_number": "620-338-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Summerlon Cir Ste D",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678012905",
            "country_code": "US",
            "telephone_number": "620-225-4139",
            "fax_number": "620-225-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHILLIPS CHIROPRACTIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILLIPS CHIROPRACTIC, P.A.",
        "enumeration_date": "2017-06-29",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "ROTHS",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "620-225-4139"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "16-105450",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "16-104621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201173360A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200631040A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Durable Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phillips Durable Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Garden City, KS
• Providers in Garden City, KS by specialty
• Durable Medical Equipment & Medical Supplies in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.