Individual provider Active NPI

Alissa R Gould, DC

  • Chiropractor
  • Shawnee, KS
National Provider Identifier
1245795137
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05964 Issued in KS
Practice address
5931 Nieman Rd
Shawnee, KS 66203-2931
Phone
(316) 617-7348
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05964 KS Primary

Addresses

Primary practice location

5931 Nieman Rd
Shawnee, KS 66203-2931

Mailing address

12803 W 92ND PL
Lenexa, KS 66215-3776
Phone (316) 617-7348

Other practice location 1

12200 W 106th St Ste 245
Overland Park, KS 66215-2366
Phone (913) 258-2673

Other practice location 2

126 N Main St
Cheney, KS 67025-8606
Phone (316) 816-0552

Other identifiers 1

IdentifierTypeStateIssuer
01-05964OtherKSKANSAS HEALING ARTS LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190220001993 KS Practitioner - Chiropractic 4082952817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Spine Chiropractic and Wellness LLCGroup PAC ID 0143699546, 4 clinicians

Practice addresses (Care Compare)

5931 Nieman Rd
Suite 100
Shawnee, KS 66203-2904
Phone (913) 914-7090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Spine Chiropractic and Wellness, LLC Chiropractor CurrentSince Apr 12, 2022 Accepting new patients
All Spine Chiropractic and Wellness, LLC Chiropractor CurrentSince Feb 1, 2023 Accepting new patients

Locations

126 N Main St
Ste 190
Cheney, KS 67025

126 N Main St
Cheney, KS 67025
Phone (316) 542-3400

5931 Nieman Rd
Ste 100
Shawnee, KS 66203
Phone (913) 914-7090

5931 Nieman Rd
Shawnee, KS 66203
Phone (316) 617-7348

Organizations & group practices 2

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1245795137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12803 W 92ND PL",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153776",
            "telephone_number": "316-617-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032931",
            "telephone_number": "316-617-7348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 W 106th St Ste 245",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152366",
            "country_code": "US",
            "telephone_number": "913-258-2673",
            "fax_number": "913-258-2677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 N Main St",
            "address_purpose": "LOCATION",
            "city": "Cheney",
            "state": "KS",
            "postal_code": "670258606",
            "country_code": "US",
            "telephone_number": "316-816-0552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ALISSA",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS HEALING ARTS LICENSE",
            "identifier": "01-05964",
            "state": "KS"
        }
    ],
    "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 Mar 18, 2024; 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.