Active NPI
Gary Michael Whitehead, D.C.
- Radiology Chiropractor
- Overland Park, KS
National Provider Identifier
1245610260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- 01-05158
- Practice address
- 10850 Lowell Ave
Overland Park, KS 66210-1613 - Phone
- (913) 234-0700
- Fax
- (913) 234-0909
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | 01-05158 | KS | Primary |
Addresses
Primary practice location
10850 Lowell Ave
Overland Park, KS 66210-1613
Mailing address
10850 Lowell Ave
Overland Park, KS 66210-1613
Phone (913) 234-0700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05158 | KS | MD | Radiology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1245610260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10850 LOWELL AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101613",
"telephone_number": "913-234-0700",
"fax_number": "913-234-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10850 LOWELL AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101613",
"telephone_number": "913-234-0700",
"fax_number": "913-234-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHEAD",
"first_name": "GARY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "KS",
"license": "01-05158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.