Wyllie Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

004952 Issued in MO

Legal business name

WYLLIE CHIROPRACTIC, PC

Practice address

305 NW Englewood Court
Suite 200
Gladstone, MO 64118-4000

Phone

(816) 454-5433

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James A Wyllie

Title

President

Phone

(816) 454-5433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295959914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD COURT",
            "address_2": "SUITE 200",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD COURT",
            "address_2": "SUITE 200",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184000",
            "telephone_number": "816-454-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYLLIE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYLLIE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-454-5433",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Mary Williams, LMSW
• Rachel Lee Willoughby Greene, MS, LPC, LCPC
• Andrea Gibbs Wilson, LPC
• Alexandra Witt
• Woodbine Healthcare LLC
• Bennett Micah Wyllie
• James A Wyllie, D.C., D.A.B.C.O.
• James Kent Wyllie, D.C.
• Edmond Michael Young, M.D.
• Aileen Bausa Zuccarini, OTR/L

• Chiropractor in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.