Active NPI
Sullivan Chiropractic, L.L.C.
- Preferred Provider Organization
- Lawrence, KS
National Provider Identifier
1235451832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 01-05275
- Legal business name
- SULLIVAN CHIROPRACTIC, L.L.C.
- Practice address
- 1309 W 6TH St Ste a
Lawrence, KS 66044-2220 - Phone
- (785) 856-2250
- Fax
- (785) 856-2242
- NPI assigned
- Feb 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Travis Wayne Sullivan, D.C.
- Title
- Owner
- Phone
- (785) 691-7325
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 01-05275 | KS | |
| Preferred Provider Organization | 305R00000X | 01-05275 | KS | Primary |
| Point of Service | 305S00000X | 01-05275 | KS |
Addresses
Primary practice location
1309 W 6TH St Ste a
Lawrence, KS 66044-2220
Mailing address
1309 W 6TH St Ste a
Lawrence, KS 66044-2220
Phone (785) 856-2250
National Provider Directory
National Provider DirectoryLocations
1309 W 6th St
Ste A
Lawrence, KS 66044
Phone (785) 856-2250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266883200000",
"number": "1235451832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 W 6TH ST STE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442220",
"telephone_number": "785-856-2250",
"fax_number": "785-856-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 W 6TH ST STE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442220",
"telephone_number": "785-856-2250",
"fax_number": "785-856-2242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SULLIVAN CHIROPRACTIC, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "TRAVIS",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "785-691-7325",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "KS",
"license": "01-05275",
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "KS",
"license": "01-05275",
"primary": true
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "KS",
"license": "01-05275",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.