Organization Active NPI

Merriam Chiropractic Center LLC

  • Chiropractor
  • Merriam, KS
National Provider Identifier
1063825420
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105443 Issued in KS
Legal business name
MERRIAM CHIROPRACTIC CENTER LLC
Practice address
5103 Merriam Dr
Merriam, KS 66203-2167
Phone
(913) 232-7588
Fax
(913) 232-7593
NPI assigned
Jun 3, 2014
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Dr. Kelly Eaton, D.C.NPI 1972878908
Title
Owner
Phone
(913) 232-7588

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
Chiropractor 111N00000X 0105443 KS Primary

Addresses

Primary practice location

5103 Merriam Dr
Merriam, KS 66203-2167

Mailing address

5103 Merriam Dr
Merriam, KS 66203-2167
Phone (913) 232-7588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160407002121 KS Part B Supplier - Clinic/Group Practice 2860790821 Receives reassigned benefits from 1 practitioner
Practice locations: Merriam, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1063825420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 MERRIAM DR",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662032167",
            "telephone_number": "913-232-7588",
            "fax_number": "913-232-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 MERRIAM DR",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662032167",
            "telephone_number": "913-232-7588",
            "fax_number": "913-232-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIAM CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-232-7588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.