Timothy Dearmond, D.C.

Individual provider Active NPI Chiropractor · Olathe, KS

NPI 1952709024 · NPPES record last updated Dec 5, 2014

Key facts

NPI
1952709024
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
01-05666 (KS)
Practice address
10528 S Ridgeview Rd
Olathe, KS 66061-6440
Phone
(913) 859-9135
Fax
(913) 859-9039
NPI assigned
Dec 5, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05666 KS Yes

Addresses

Primary practice location

10528 S Ridgeview Rd
Olathe, KS 66061-6440

Mailing address

10528 S Ridgeview Rd
Olathe, KS 66061-6440
Phone (913) 859-9135

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 5, 2014.

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1952709024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10528 S RIDGEVIEW RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616440",
            "telephone_number": "913-859-9135",
            "fax_number": "913-859-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10528 S RIDGEVIEW RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616440",
            "telephone_number": "913-859-9135",
            "fax_number": "913-859-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARMOND",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

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Sources for this page

Verify at the official NPI Registry.