Individual provider Active NPI

Joseph J Pilsl II, D.C.

  • Chiropractor
  • Marysville, KS
National Provider Identifier
1982650552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4852 Issued in KS
Practice address
104 S 11TH St
Marysville, KS 66508-1807
Phone
(785) 562-2326
Fax
(785) 562-2078
NPI assigned
May 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4852 KS Primary
Chiropractor 111N00000X 1331 NE
Chiropractor 111N00000X 9819 TX

Addresses

Primary practice location

104 S 11TH St
Marysville, KS 66508-1807

Mailing address

104 S 11TH St
Marysville, KS 66508-1807
Phone (785) 562-2326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000199 KS Practitioner - Chiropractic 0840271722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 S 11TH St
Marysville, KS 66508-1807
Phone (785) 562-2326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1331NEMDProfessional Counselor
4852KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marysville Chiropractic Clinic Chiropractor CurrentSince Feb 1, 2004 Accepting new patients

Locations

104 S 11th St
Marysville, KS 66508
Phone (785) 562-2326

Organizations & group practices 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982650552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S 11TH ST",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081807",
            "telephone_number": "785-562-2326",
            "fax_number": "785-562-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S 11TH ST",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081807",
            "telephone_number": "785-562-2326",
            "fax_number": "785-562-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILSL",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4852",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1331",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.