Organization Active NPI

Premier Chiropractic & Wellness, P.a.

  • Chiropractor
  • Manhattan, KS
National Provider Identifier
1801219068
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05605 Issued in KS
Legal business name
PREMIER CHIROPRACTIC & WELLNESS, P.A.
Practice address
324C Southwind PL
Manhattan, KS 66503-3134
Phone
(785) 320-5300
NPI assigned
Jan 23, 2014
Last updated
Dec 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Dr. Eric Dean Dierksen, D.C.
Title
President
Phone
(785) 320-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 01-05605 KS Primary

Addresses

Primary practice location

324C Southwind PL
Manhattan, KS 66503-3134

Mailing address

324C Southwind PL
Manhattan, KS 66503-3134
Phone (785) 320-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140417000583 KS Part B Supplier - Clinic/Group Practice 6002048469 Receives reassigned benefits from 2 practitioners
Practice locations: Manhattan, KS

National Provider Directory

National Provider Directory

Locations

324C Southwind Pl
Manhattan, KS 66503
Phone (785) 320-5300

711 Commons Pl
Manhattan, KS 66503
Phone (785) 320-5300

Practitioners & affiliated clinicians

Practitioners 2

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": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1801219068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324C SOUTHWIND PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033134",
            "telephone_number": "785-320-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324C SOUTHWIND PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033134",
            "telephone_number": "785-320-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC & WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "DIERKSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-320-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.