Timothy D Bolz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0103769 Issued in KS

Practice address

4990 SW 21St St
Ste 1
Topeka, KS 66604-3890

Phone

(785) 272-2090

Fax

(785) 272-2671

NPI assigned

Sep 21, 2006

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bolz Chiropractic Clinic PAGroup PAC ID 6800835182, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bolz Chiropractic Clinic, PA

  • Chiropractor
  • Topeka, KS
  • NPI 1750594990
  Medicare reassignment Care Compare group NPD Authorized official
• Lucas Chiropractic, Inc.

  • Chiropractor
  • Topeka, KS
  • NPI 1053412650
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1992803910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 SW 21ST",
            "address_2": "STE1",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666043890",
            "telephone_number": "785-231-7339",
            "fax_number": "785-272-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 SW 21ST ST",
            "address_2": "STE 1",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666043890",
            "telephone_number": "785-272-2090",
            "fax_number": "785-272-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLZ",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0103769",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-03769",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "023710",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350011505",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Bolenbaugh
• Alex Bolin, PT
• Lauren M Bolyard
• Bolz Chiropractic Clinic, PA
• Anna B Bolz, D.C.
• Clifford L Bond, MDIV
• C Richard Bonebrake, M.D.
• Philip F Bongiorno, MD
• Megha C Bonnel, APRN
• Timothy J Bonner, LCP

• Chiropractor in Topeka, KS
• Providers in Topeka, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.