Organization Active NPI

Sullivan Chiropractic, L.L.C.

  • Preferred Provider Organization
  • Lawrence, KS
National Provider Identifier
1235451832
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
01-05275 Issued in KS
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

Updated by the provider on Feb 23, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.