Elite Sports Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05124 Issued in KS

Legal business name

ELITE SPORTS CHIROPRACTIC, LLC

Practice address

7570 W 21St St N Ste 1006a
Wichita, KS 67205-1773

Phone

(316) 337-5757

Fax

(316) 337-5758

NPI assigned

Oct 5, 2010

Reactivated

Jul 6, 2023

Last updated

Jul 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Bridges

Title

Office Manager

Phone

(316) 337-5757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Kirby, D.C.

  • Chiropractor
  • Wichita, KS
  • NPI 1821402710
  Medicare reassignment Care Compare group
• Jon Daric Messenger, D.C.

  • Chiropractor
  • Wichita, KS
  • NPI 1467615245
  Medicare reassignment Care Compare group
• Kirk Andrew Turpin

  • Chiropractor
  • Wichita, KS
  • NPI 1174899934
  Medicare reassignment Care Compare group
• Steven Paul Howard, D.C.

  • Chiropractor
  • Wichita, KS
  • NPI 1790074177
  NPD (past)

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1306155510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1006A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051773",
            "telephone_number": "316-337-5757",
            "fax_number": "316-337-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1006A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051773",
            "telephone_number": "316-337-5757",
            "fax_number": "316-337-5758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 N Rock Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672061287",
            "country_code": "US",
            "telephone_number": "316-337-5757",
            "fax_number": "316-337-5758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7570 W 21st St N Ste 1006A",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672051773",
            "country_code": "US",
            "telephone_number": "316-337-5757",
            "fax_number": "316-337-5758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE SPORTS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "deactivation_date": "2023-06-23",
        "reactivation_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-337-5757"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.