Shirin Moshiri Gulledge, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

T01052 Issued in KS

Practice address

11879 W 112TH St
Ste 100
Overland Park, KS 66210-2725

Phone

(913) 338-1112

Fax

(913) 338-2079

NPI assigned

Feb 15, 2007

Last updated

Jan 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True Health PAGroup PAC ID 5092930842, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• True Health PA

  • Physical Medicine & Rehabilitation Physician
  • Overland Park, KS
  • NPI 1811314834

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official
• Gulledge Family Wellness PA

  • Chiropractor
  • Overland Park, KS
  • NPI 1205165958
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1275676371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11879 W 112TH ST",
            "address_2": "STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102725",
            "telephone_number": "913-962-7408",
            "fax_number": "913-962-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11879 W 112TH ST",
            "address_2": "STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102725",
            "telephone_number": "913-338-1112",
            "fax_number": "913-338-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLEDGE",
        "first_name": "SHIRIN",
        "middle_name": "MOSHIRI",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "T01052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulledge Family Wellness P.a.
• Gulledge Family Wellness PA
• Gulledge Family Wellness, LLC
• David Lauchlin Gulledge, D.C.
• Kyle Vincent Gulledge, D.C.
• Natalie R Gulley, PT
• Casey Gum, MA, LCPC, NCC
• Jessica Nicole Gunkel, LMFT
• Nicolle Marie Gunter, M.D.
• Mayank Gupta, MD (MBBS)

• Chiropractor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.