Active NPI
Tyler Ray Bohlke, DC
- Chiropractor
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-06114
- Practice address
- 14865 Metcalf Ave
Overland Park, KS 66223-2205 - Phone
- (712) 540-6615
- NPI assigned
- Mar 23, 2021
- Last updated
- Mar 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-06114 | KS | Primary |
Addresses
Primary practice location
14865 Metcalf Ave
Overland Park, KS 66223-2205
Mailing address
21848 W 123Rd Ter
Olathe, KS 66061-7629
Phone (712) 540-6615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 SW Longview Blvd
Suite 160
Lees Summit, MO 64081-2112
Phone (816) 761-3944
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Symes Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
400 SW Longview Blvd
Ste 160
Lees Summit, MO 64081
Phone (816) 761-3944
Organizations & group practices 2
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.
-
dba Rejuvenate Mind-Body Wellness Center
- Chiropractor
- Lee's Summit, MO
- NPI 1942482757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1326624057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21848 W 123RD TER",
"city": "OLATHE",
"state": "KS",
"postal_code": "660617629",
"telephone_number": "712-540-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14865 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662232205",
"telephone_number": "712-540-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHLKE",
"first_name": "TYLER",
"middle_name": "RAY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-06114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.