Active NPI
Gary E Cleveland, DC CCEP CCSP
- Chiropractor
- Manhattan, KS
National Provider Identifier
1023121100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4457
- Practice address
- 404 Humboldt St
Suite C
Manhattan, KS 66502-5879 - Phone
- (785) 323-1923
- Fax
- (785) 323-1925
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4457 | KS | Primary |
Addresses
Primary practice location
404 Humboldt St
Suite C
Manhattan, KS 66502-5879
Mailing address
404 Humboldt St
Suite C
Manhattan, KS 66502-5879
Phone (785) 323-1923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
503 E Bertrand Ave
Saint Marys, KS 66536-1651
Phone (785) 437-6162
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4457 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health Wellness, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Saint Marys, KS
- NPI 1275646382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1023121100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 HUMBOLDT ST",
"address_2": "SUITE C",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665025879",
"telephone_number": "785-323-1923",
"fax_number": "785-323-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 HUMBOLDT ST",
"address_2": "SUITE C",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665025879",
"telephone_number": "785-323-1923",
"fax_number": "785-323-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "GARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DC CCEP CCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "4457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.