Organization Active NPI

Mills Chiropractic & Wellness Center, P.a.

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1043478746
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04950 Issued in KS
Legal business name
MILLS CHIROPRACTIC & WELLNESS CENTER, P.A.
Practice address
601 N Mur Len Rd
Ste. 19
Olathe, KS 66062-5415
Phone
(913) 764-5900
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Jere L. Mills, D.C.NPI 1104931856
Title
President
Phone
(913) 764-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-04950 KS Primary

Addresses

Primary practice location

601 N Mur Len Rd
Ste. 19
Olathe, KS 66062-5415

Mailing address

601 N Mur Len Rd
Ste. 19
Olathe, KS 66062-5415
Phone (913) 764-5900

Other identifiers 1

IdentifierTypeStateIssuer
35347017OtherKSBLUE CROSS BLUE SHIELD OF KC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050310000531 KS Part B Supplier - Clinic/Group Practice 4385698596 Receives reassigned benefits from 1 practitioner
Practice locations: Olathe, KS

National Provider Directory

National Provider Directory

Locations

601 N Mur Len Rd
Ste 19
Olathe, KS 66062
Phone (913) 764-5900

13795 S Mur Len Rd
Ste 203
Olathe, KS 66062
Phone (913) 764-5900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1043478746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N MUR LEN RD",
            "address_2": "STE. 19",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625415",
            "telephone_number": "913-764-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N MUR LEN RD",
            "address_2": "STE. 19",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625415",
            "telephone_number": "913-764-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS CHIROPRACTIC & WELLNESS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JERE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-764-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KC",
            "identifier": "35347017",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.