Organization Active NPI

Performance Chiropractic

  • Sports Physician Chiropractor
  • Olathe, KS
National Provider Identifier
1366699407
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
01-04631 Issued in KS
Legal business name
PERFORMANCE CHIROPRACTIC
Practice address
708 S Rogers Rd Ste a
Olathe, KS 66062-1739
Phone
(913) 782-5000
Fax
(913) 782-5005
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Dr. Brett Martin Dworkis, DCNPI 1881739670
Title
Clinic Director
Phone
(913) 782-5000

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 01-04631 KS Primary

Addresses

Primary practice location

708 S Rogers Rd Ste a
Olathe, KS 66062-1739

Mailing address

708 S Rogers Rd Ste a
Olathe, KS 66062-1739
Phone (913) 782-5000

National Provider Directory

National Provider Directory

Locations

708 S Rogers Rd
Ste A
Olathe, KS 66062
Phone (913) 782-5000

Practitioners & affiliated clinicians

Practitioners 1

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": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1366699407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S ROGERS RD STE A",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621739",
            "telephone_number": "913-782-5000",
            "fax_number": "913-782-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S ROGERS RD STE A",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621739",
            "telephone_number": "913-782-5000",
            "fax_number": "913-782-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "DWORKIS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "913-782-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "KS",
            "license": "01-04631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 20, 2008; 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.