NPIMap

Organization Active NPI

Scott City Chiropractic Clinic, LLC

  • Chiropractor
  • Scott City, KS
National Provider Identifier
1871704015
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3292 Issued in KS
Legal business name
SCOTT CITY CHIROPRACTIC CLINIC, LLC
Practice address
1101 Main St
Scott City, KS 67871-1824
Phone
(620) 872-2310
Fax
(620) 872-7038
NPI assigned
May 26, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Dick L Cockerill, DCNPI 1538253018
Title
Ceo
Phone
(620) 872-2310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3292 KS Primary

Addresses

Primary practice location

1101 Main St
Scott City, KS 67871-1824

Mailing address

1101 Main St
Scott City, KS 67871-1824
Phone (620) 872-2310

Other identifiers 2

IdentifierTypeStateIssuer
660193OtherKSBCBS OF KS
005442OtherPTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1180137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1871704015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MAIN ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678711824",
            "telephone_number": "620-872-2310",
            "fax_number": "620-872-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MAIN ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678711824",
            "telephone_number": "620-872-2310",
            "fax_number": "620-872-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT CITY CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "COCKERILL",
        "authorized_official_first_name": "DICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-872-2310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "3292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "660193",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "005442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.