Organization Active NPI

SG Chiro Solutions LLC

Doing business as Wave Integrative Wellness

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1023717782
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SG CHIRO SOLUTIONS LLC
Doing business as
Wave Integrative Wellness
Practice address
4444 N Belleview Ave Ste 105
Kansas City, MO 64116-1507
Phone
(816) 326-7381
Fax
(816) 339-4459
NPI assigned
Mar 1, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Dr. Stephen Gary Gumpenberger, DC
Title
Owner
Phone
(620) 960-8642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4444 N Belleview Ave Ste 105
Kansas City, MO 64116-1507

Mailing address

4444 N Belleview Ave Ste 105
Kansas City, MO 64116-1507
Phone (816) 326-7381

Other names 1

  • Wave Integrative Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

4444 N Belleview Ave
Ste 105
Kansas City, MO 64116
Phone (816) 326-7381

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1023717782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 N BELLEVIEW AVE STE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641161507",
            "telephone_number": "816-326-7381",
            "fax_number": "816-339-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 N BELLEVIEW AVE STE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641161507",
            "telephone_number": "816-326-7381",
            "fax_number": "816-339-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG CHIRO SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "GUMPENBERGER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-960-8642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wave Integrative Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wave Integrative Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.