Organization Active NPI

Midwest Muscle & Joint Clinic LLC

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1316508351
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MIDWEST MUSCLE & JOINT CLINIC LLC
Practice address
3320 Peterson Rd Ste 100
Lawrence, KS 66049-1739
Phone
(785) 856-2273
Fax
(785) 409-6225
NPI assigned
Jun 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Dr. Drake Edward Kayser, DCNPI 1013577295
Title
Owner
Phone
(785) 580-7272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3320 Peterson Rd Ste 100
Lawrence, KS 66049-1739

Mailing address

3320 Peterson Rd Ste 100
Lawrence, KS 66049-1739
Phone (785) 856-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190826002756 KS Part B Supplier - Clinic/Group Practice 1850629015 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

3320 Peterson Rd
Ste 100
Lawrence, KS 66049
Phone (785) 843-3979

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1316508351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 PETERSON RD STE 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491739",
            "telephone_number": "785-856-2273",
            "fax_number": "785-409-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 PETERSON RD STE 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491739",
            "telephone_number": "785-856-2273",
            "fax_number": "785-409-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MUSCLE & JOINT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "KAYSER",
        "authorized_official_first_name": "DRAKE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-580-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.