Valley Falls Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05378 Issued in KS

Legal business name

VALLEY FALLS CHIROPRACTIC CLINIC

Practice address

906 Walnut St
Valley Falls, KS 66088-1240

Phone

(785) 945-3261

Fax

(785) 945-3262

NPI assigned

May 25, 2011

Last updated

May 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bret Derek Lickteig, D.C.NPI 1144529561

Title

Owner

Phone

(785) 945-3261

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Bret Derek Lickteig, D.C.

  • Chiropractor
  • Shawnee, KS
  • NPI 1144529561
  NPD (past) Authorized official

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1942593835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "VALLEY FALLS",
            "state": "KS",
            "postal_code": "660880186",
            "telephone_number": "785-945-3261",
            "fax_number": "785-945-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WALNUT ST",
            "city": "VALLEY FALLS",
            "state": "KS",
            "postal_code": "660881240",
            "telephone_number": "785-945-3261",
            "fax_number": "785-945-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FALLS CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "LICKTEIG",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-945-3261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Stickelman, RN
• Clinton Thomas, R.N.
• Tonganoxie Family Dentistry (Valley Falls Family Dentistry)
• Topeka Physician Group, LLC (The University of Kansas Physicians Topeka)
• Ashley Adell Tyler, APRN
• Valley Falls Family Dentistry Holdings
• Valley Falls Medical Clinic an Operating Division of SFHC
• Valley Falls Pharmacy, LLC
• Valley Falls Pharmacy, LLC (Valley Falls Pharmacy LTC)
• Valley Falls Usd338

• Chiropractor in Valley Falls, KS
• Providers in Valley Falls, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.