Charles Nelson Romm Jr., D.C.
Individual provider Active NPI Chiropractor · Bennington, KS
NPI 1942390893 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942390893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- C3792 (KS)
- Practice address
- 104 N Nelson St
Bennington, KS 67422-5007 - Phone
- (785) 488-2151
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
660 Westport Blvd
Salina, KS 67401-4360
Phone (785) 822-8442
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050427001261 | KS | Practitioner - Chiropractic | 2264471317 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3792 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Romm Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
660 Westport Blvd
Salina, KS 67401
Phone (785) 822-8442
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | C3792 | KS | Yes |
Addresses
Primary practice location
104 N Nelson St
Bennington, KS 67422-5007
Mailing address
104 N Nelson St
Bennington, KS 67422-5007
Phone (785) 488-2151
Other providers in Bennington, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.