NPIMap

Organization Active NPI

Koehn Wellness & Chiropractic, P.a.

  • Chiropractor
  • Dodge City, KS
National Provider Identifier
1902903917
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04763 Issued in KS
Legal business name
KOEHN WELLNESS & CHIROPRACTIC, P.A.
Practice address
2601 Central Avenue, Suite 22
Dodge City, KS 67801
Phone
(620) 227-9902
Fax
(620) 227-9932
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Mrs. Shanda R. Koehn, D.C.NPI 1730270596
Title
President
Phone
(620) 227-9902

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 01-04848 KS
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 01-04763 KS Primary

Addresses

Primary practice location

2601 Central Avenue, Suite 22
Dodge City, KS 67801

Mailing address

2601 Central Avenue, Suite 22
Dodge City, KS 67801
Phone (620) 227-9902

Other identifiers 1

IdentifierTypeStateIssuer
660055OtherKSBCBS ID NUMBER

Other names 1

  • Koehn & Harp Family Chiropractic, P.A. Former legal business name

National Provider Directory

National Provider Directory

Locations

2605 Central Ave
Dodge City, KS 67801
Phone (620) 227-9902

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1902903917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CENTRAL AVENUE, SUITE 22",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "67801",
            "telephone_number": "620-227-9902",
            "fax_number": "620-227-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CENTRAL AVENUE, SUITE 22",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "67801",
            "telephone_number": "620-227-9902",
            "fax_number": "620-227-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOEHN WELLNESS & CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "KOEHN",
        "authorized_official_first_name": "SHANDA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-227-9902",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04848",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "660055",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koehn & Harp Family Chiropractic, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.