Individual provider Active NPI

Patrick Donald Kadrmas, DC

  • Chiropractor
  • Prescott, AZ
National Provider Identifier
1881765568
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-5039 Issued in MT
Practice address
142 N Rush Street
Prescott, AZ 86301
Phone
(928) 771-8162
Fax
(928) 717-2757
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC5017 AZ
Chiropractor 111N00000X CHI-CHI-LIC-5039 MT Primary

Addresses

Primary practice location

142 N Rush Street
Prescott, AZ 86301

Mailing address

16 W Main St
White Sulphur Springs, MT 59645-9036
Phone (928) 771-8162

Other identifiers 1

IdentifierTypeStateIssuer
AZ0930080OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171030000717 MT Practitioner - Chiropractic 4183642382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Sandy Medical Center IncGroup PAC ID 8123925989, 5 clinicians
Mountainview Medical CenterGroup PAC ID 8820085707, 10 clinicians

Practice addresses (Care Compare)

166 Montana Ave E
Big Sandy, MT 59520-7754
Phone (406) 378-2188

371 Lincoln Ave
Big Sandy, MT 59520-7791

PO Box
Suite 530
Big Sandy, MT 59520

PO Box Q
White Sulphur Springs, MT 59645-0817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC5017AZMDChiropractor
CHI-CHI-LIC-5039MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sandy Medical Center Inc CurrentSince Oct 1, 2021 Accepting new patients
Big Sandy Medical Center Inc CurrentSince Oct 1, 2021 Accepting new patients
Mountainview Medical Center CurrentSince Oct 10, 2017 Accepting new patients
Mountainview Medical Center CurrentSince Oct 10, 2017 Accepting new patients
Wellness Health Associates, P.C. Chiropractor PastSince Feb 10, 2013 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/mvmedc-7a318021

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1881765568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 W MAIN ST",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "MT",
            "postal_code": "596459036",
            "telephone_number": "928-771-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 N RUSH STREET",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-771-8162",
            "fax_number": "928-717-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADRMAS",
        "first_name": "PATRICK",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC5017",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-5039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0930080",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.