Patrick D Qualls, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-04398 Issued in KS

Practice address

503 E Bertrand Ave
Saint Marys, KS 66536-1651

Phone

(785) 437-6162

Fax

(785) 437-6197

NPI assigned

Sep 20, 2006

Last updated

Sep 25, 2013By the provider in NPPES

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 OK

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back to Health Wellness, Inc

  dba St. Marys Chiropractic

  • Chiropractor
  • Saint Marys, KS
  • NPI 1407954704
  Authorized official Same address or phone
• Wildcat Chiropractic Sports & Wellness Center LLC

  • Chiropractor
  • Saint Marys, KS
  • NPI 1275646382
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1851499156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E BERTRAND",
            "city": "ST. MARYS",
            "state": "KS",
            "postal_code": "66536",
            "telephone_number": "785-437-6162",
            "fax_number": "785-437-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E BERTRAND AVE",
            "city": "SAINT MARYS",
            "state": "KS",
            "postal_code": "665361651",
            "telephone_number": "785-437-6162",
            "fax_number": "785-437-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "PATRICK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenere LLC (Lifetime Care)
• LJ3 Drug LLC (St. Marys Pharmacy LTC)
• LJ3 Drug LLC (St. Marys Pharmacy)
• John Neilson Meriwether, MD
• Kimra S Qualls, D.C.
• Matthew C Ridder, ARNP
• Tara Roberts
• Thomas Seiter, MD
• Valerie Catherine Shaw
• St Marys Family Practice, PA

• Chiropractor in Saint Marys, KS
• Providers in Saint Marys, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.