Organization Active NPI

Hammond Chiropractic Center LLC

  • Chiropractor
  • Shawnee, KS
National Provider Identifier
1174635528
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104568 Issued in KS
Legal business name
HAMMOND CHIROPRACTIC CENTER LLC
Practice address
10610 Shawnee Mission Pkwy
Ste 210
Shawnee, KS 66203-3508
Phone
(913) 248-9500
Fax
(913) 248-1212
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Tracy Ellis
Title
Office Manager
Phone
(913) 248-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104568 KS Primary

Addresses

Primary practice location

10610 Shawnee Mission Pkwy
Ste 210
Shawnee, KS 66203-3508

Mailing address

10610 Shawnee Mission Pkwy
Ste 210
Shawnee, KS 66203-3508
Phone (913) 248-9500

Other identifiers 1

IdentifierTypeStateIssuer
MA2040001OtherPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060922000533 KS Part B Supplier - Clinic/Group Practice 9931104007 Receives reassigned benefits from 1 practitioner
Practice locations: Shawnee, KS

National Provider Directory

National Provider Directory

Locations

5813 NW Barry Rd
Kansas City, MO 64154
Phone (816) 436-8200

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1174635528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 SHAWNEE MISSION PKWY",
            "address_2": "STE 210",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033508",
            "telephone_number": "913-248-9500",
            "fax_number": "913-248-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 SHAWNEE MISSION PKWY",
            "address_2": "STE 210",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033508",
            "telephone_number": "913-248-9500",
            "fax_number": "913-248-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-248-9500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MA2040001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.