Individual provider Active NPI

Aleesa Harris, DC

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1306325204
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05919 Issued in KS
Practice address
10454 S Ridgeview Rd
Olathe, KS 66061-6438
Phone
(913) 689-2333
Fax
(913) 689-2334
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05919 KS Primary

Addresses

Primary practice location

10454 S Ridgeview Rd
Olathe, KS 66061-6438

Mailing address

10454 S Ridgeview Rd
Olathe, KS 66061-6438
Phone (913) 689-2333

Other identifiers 1

IdentifierTypeStateIssuer
01-05919OtherKSKANSAS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Olathe

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829003736 KS Practitioner - Chiropractic 9638429327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Sports and Family Chiropractic, LLCGroup PAC ID 7517036023, 17 clinicians

Practice addresses (Care Compare)

10454 S Ridgeview Rd
Olathe, KS 66061-6438
Phone (913) 643-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Sports and Family Chiropractic, LLC Chiropractor CurrentSince Jan 13, 2020 Accepting new patients

Locations

10454 S Ridgeview Rd
Olathe, KS 66061
Phone (913) 643-1771

6701 W 121st St
Ste 200
Overland Park, KS 66209
Phone (913) 379-9550

Organizations & group practices 1

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1306325204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10454 S RIDGEVIEW RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616438",
            "telephone_number": "913-689-2333",
            "fax_number": "139-689-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10454 S RIDGEVIEW RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616438",
            "telephone_number": "913-689-2333",
            "fax_number": "913-689-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ALEESA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS",
            "identifier": "01-05919",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Olathe",
            "affiliation": "N",
            "address_1": "10454 S Ridgeview Rd",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660616438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.