Jaccard Chiropractic
Organization Active NPI Chiropractor · La Cygne, KS
NPI 1982867925 · NPPES record last updated Oct 14, 2011
Key facts
- NPI
- 1982867925
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5141 (KS)
- Legal business name
- JACCARD CHIROPRACTIC
- Practice address
- 416 Market Street
Suite B
La Cygne, KS 66040-9998 - Phone
- (913) 709-2364
- NPI assigned
- Jul 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Lindsey Jaccard, D.C.
- Title
- Owner
- Phone
- (913) 709-2364
Practitioners 1
-
Lindsey M Jaccard, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081024000651 | KS | Part B Supplier - Clinic/Group Practice | 6608934237 |
Receives reassigned benefits from 1 practitioner Practice locations: La Cygne, KS |
National Provider Directory
Locations
618 Market St
La Cygne, KS 66040
Phone (913) 757-4044
4745 W 136th St
#81
Leawood, KS 66224
Phone (913) 709-2364
2317 W 143rd St
Leawood, KS 66224
Phone (913) 709-2364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5141 | KS | Yes |
Addresses
Primary practice location
416 Market Street
Suite B
La Cygne, KS 66040-9998
Mailing address
1212 Starbrooke Dr
Louisburg, KS 66053-4142
Phone (913) 709-2364
Other providers in La Cygne, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2011. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.