Organization Active NPI

Prairie Winds Chiropractic PA

  • Chiropractor
  • Clay Center, KS
National Provider Identifier
1912216367
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4592 Issued in KS
Legal business name
PRAIRIE WINDS CHIROPRACTIC PA
Practice address
115 6TH St
Clay Center, KS 67432-3328
Phone
(785) 632-2053
Fax
(785) 632-2083
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. Linda M Johnston, DCNPI 1265473797
Title
Owner
Phone
(785) 632-2053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4592 KS Primary

Addresses

Primary practice location

115 6TH St
Clay Center, KS 67432-3328

Mailing address

115 6TH St
Clay Center, KS 67432-3328
Phone (785) 632-2053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101019001630 KS Part B Supplier - Clinic/Group Practice 6103019443 Receives reassigned benefits from 1 practitioner
Practice locations: Clay Center, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1912216367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 6TH ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674323328",
            "telephone_number": "785-632-2053",
            "fax_number": "785-632-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 6TH ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674323328",
            "telephone_number": "785-632-2053",
            "fax_number": "785-632-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE WINDS CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-632-2053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay Center, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.