McKenzie Lorraine Bayless, DC
Individual provider Active NPI Chiropractor · Lenexa, KS
NPI 1013663202 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1013663202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0106160 (KS)
- Practice address
- 10072 Woodland Dr
Lenexa, KS 66220-3802 - Phone
- (913) 839-4150
- NPI assigned
- Feb 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10072 Woodland Dr
Lenexa, KS 66220-3802
Phone (913) 263-0508
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220908001007 | KS | Practitioner - Chiropractic | 6406230515 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0106160 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodland Chiropractic and Wellness LLC | Chiropractor | Current |
Accepting new patients |
Locations
10072 Woodland Rd
Shawnee, KS 66220
Phone (913) 263-0508
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 0106160 | KS | Yes |
Addresses
Primary practice location
10072 Woodland Dr
Lenexa, KS 66220-3802
Mailing address
10072 Woodland Rd
Lenexa, KS 66220-2952
Phone (913) 839-4150
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.woodlandchirokc.com | Direct |
Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.