Provider Demographics
NPI:1518142173
Name:CHIROHEALTH PA
Entity Type:Organization
Organization Name:CHIROHEALTH PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-962-7246
Mailing Address - Street 1:12480 W 62ND TER
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-1809
Mailing Address - Country:US
Mailing Address - Phone:913-962-7246
Mailing Address - Fax:913-962-4500
Practice Address - Street 1:420 E YOUNG AVE
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-1239
Practice Address - Country:US
Practice Address - Phone:913-669-0456
Practice Address - Fax:660-422-7243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05237111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR101157OtherMEDICARE ID
ORR101157OtherMEDICARE ID