Organization Active NPI

Prohealth Chiropractic Wellness Centers, PA

  • Chiropractor
  • Garden City, KS
National Provider Identifier
1922200138
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105109 Issued in KS
Legal business name
PROHEALTH CHIROPRACTIC WELLNESS CENTERS, PA
Practice address
2502 N John St
Suite B
Garden City, KS 67846-2804
Phone
(620) 271-0243
Fax
(620) 271-0218
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
James A Yager, DCNPI 1700921483
Title
President
Phone
(620) 872-2310

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0105109 KS Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 01-05187 KS

Addresses

Primary practice location

2502 N John St
Suite B
Garden City, KS 67846-2804

Mailing address

110 W 4TH St
Scott City, KS 67871-1276
Phone (620) 872-2310

Other identifiers 1

IdentifierTypeStateIssuer
660194OtherKSBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Prohealth Chiropractic Wellness Centers PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1922200138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 4TH ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678711276",
            "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": "2502 N JOHN ST",
            "address_2": "SUITE B",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678462804",
            "telephone_number": "620-271-0243",
            "fax_number": "620-271-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH CHIROPRACTIC WELLNESS CENTERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "YAGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-872-2310",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105109",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05187",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "660194",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.