Individual provider Active NPI

Angela Dawn Harp, D.C.

  • Chiropractor
  • Dodge City, KS
National Provider Identifier
1952492761
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04763 Issued in KS
Practice address
2601 Central Ave
Suite 22
Dodge City, KS 67801-6200
Phone
(620) 227-9902
Fax
(620) 227-9932
NPI assigned
Sep 27, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04763 KS Primary

Addresses

Primary practice location

2601 Central Ave
Suite 22
Dodge City, KS 67801-6200

Mailing address

2601 Central Ave
Suite 22
Dodge City, KS 67801-6200
Phone (620) 227-9902

Other identifiers 2

IdentifierTypeStateIssuer
062038OtherKSINDIVIDUAL BCBSKS ID #
P00116509OtherKSRAILROAD MEDICARE

Other names 1

  • Ms. Angela Dawn Cunningham Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040130000115 KS Practitioner - Chiropractic 0345143467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phillips Chiropractic PAGroup PAC ID 2365516713, 4 clinicians

Practice addresses (Care Compare)

2200 Summerlon Cir
Dodge City, KS 67801-2905
Phone (620) 225-4139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-04763KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Chiropractic P.a. Chiropractor CurrentSince Feb 14, 2013 Accepting new patients
Phillips Chiropractic P.a. CurrentSince Feb 14, 2013 Accepting new patients
Life in Motion Orthotic & Prosthetic Center, Inc. Past Accepting new patients
Koehn Wellness & Chiropractic, P.a. Chiropractor PastSince Apr 30, 2003 Accepting new patients

Locations

2200 Summerlon Cir
Ste D
Dodge City, KS 67801
Phone (620) 225-4139

2601 Central Ave
Ste 22
Dodge City, KS 67801
Phone (620) 225-0113

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952492761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CENTRAL AVE",
            "address_2": "SUITE 22",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016200",
            "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 AVE",
            "address_2": "SUITE 22",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016200",
            "telephone_number": "620-227-9902",
            "fax_number": "620-227-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARP",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BCBSKS ID #",
            "identifier": "062038",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00116509",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CUNNINGHAM",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.