Active NPI
Gregory V Ingram, DC
- Chiropractor
- Mission, KS
National Provider Identifier
1073915302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05643
- Practice address
- 6556 Johnson Dr
Mission, KS 66202-2615 - Phone
- (913) 432-4780
- Fax
- (913) 262-2690
- NPI assigned
- Sep 18, 2014
- 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 | 01-05643 | KS | Primary |
Addresses
Primary practice location
6556 Johnson Dr
Mission, KS 66202-2615
Mailing address
6556 Johnson Dr
Mission, KS 66202-2615
Phone (913) 432-4780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1073915302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6556 JOHNSON DR",
"city": "MISSION",
"state": "KS",
"postal_code": "662022615",
"telephone_number": "913-432-4780",
"fax_number": "913-262-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6556 JOHNSON DR",
"city": "MISSION",
"state": "KS",
"postal_code": "662022615",
"telephone_number": "913-432-4780",
"fax_number": "913-262-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "GREGORY",
"middle_name": "V",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-18",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.