Organization Active NPI

Abundant Life Chiropractic PA

  • Chiropractor
  • Kansas City, KS
National Provider Identifier
1063600518
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4742 Issued in KS
Legal business name
ABUNDANT LIFE CHIROPRACTIC PA
Practice address
2300 Hutton Rd
Suite 101
Kansas City, KS 66109-4403
Phone
(913) 721-0060
Fax
(913) 721-2553
NPI assigned
Oct 10, 2007
Last updated
Feb 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Dr. Wendy Ann Briley, D.C.
Title
Owner
Phone
(913) 721-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4742 KS Primary

Addresses

Primary practice location

2300 Hutton Rd
Suite 101
Kansas City, KS 66109-4403

Mailing address

2300 Hutton Rd
Suite 101
Kansas City, KS 66109-4403
Phone (913) 721-0060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071115000637 KS Part B Supplier - Clinic/Group Practice 1254429798 Receives reassigned benefits from 2 practitioners
Practice locations: Kansas City, KS

National Provider Directory

National Provider Directory

Locations

2300 Hutton Rd
Ste 101
Kansas City, KS 66109
Phone (913) 721-0060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1063600518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HUTTON RD",
            "address_2": "SUITE 101",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094403",
            "telephone_number": "913-721-0060",
            "fax_number": "913-721-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HUTTON RD",
            "address_2": "SUITE 101",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094403",
            "telephone_number": "913-721-0060",
            "fax_number": "913-721-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "BRILEY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-721-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.