Individual provider Active NPI

Brad S Willits, D. C.

  • Chiropractor
  • Mission, KS
National Provider Identifier
1154318921
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0103909 Issued in KS
Practice address
6556 Johnson Dr
Mission, KS 66202-2615
Phone
(913) 432-4780
Fax
(913) 262-2690
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0103909 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
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000513 KS Practitioner - Chiropractic 4082616024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Chiropractic LLCGroup PAC ID 8921000969, 2 clinicians

Practice addresses (Care Compare)

6556 Johnson Dr
Mission, KS 66202-2615
Phone (913) 432-4780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103909KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Chiropractic LLC Chiropractor CurrentSince Jan 2, 2007 Accepting new patients

Locations

6556 Johnson Dr
Mission, KS 66202
Phone (913) 432-4780

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1154318921",
    "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": "WILLITS",
        "first_name": "BRAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0103909",
            "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 Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.