Advanced Sports and Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0105014 Issued in KS

Legal business name

ADVANCED SPORTS AND FAMILY CHIROPRACTIC, LLC

Practice address

12643 Metcalf Ave
Overland Park, KS 66213-1317

Phone

(913) 643-1771

Fax

(913) 643-1775

NPI assigned

May 9, 2008

Last updated

May 22, 2014By 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

Dr. Brad Michael Woodle, DC

Title

President

Phone

(913) 643-1771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Locations

Practitioners 30

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.

• Sydney Elizabeth Collier, DC

  • Chiropractor
  • Overland Park, KS
  • NPI 1861213142
  Medicare reassignment Care Compare group NPD
• Jacob John Fanders, D.C.

  • Chiropractor
  • Overland Park, KS
  • NPI 1982904140
  Medicare reassignment Care Compare group NPD
• Aleesa Harris, DC

  • Chiropractor
  • Olathe, KS
  • NPI 1306325204
  Medicare reassignment Care Compare group NPD
• Alek Santo, DC

  • Chiropractor
  • Prairie Village, KS
  • NPI 1467107342
  Medicare reassignment Care Compare group NPD
• Brandon D Wiese, DC

  • Chiropractor
  • Overland Park, KS
  • NPI 1821641101
  Medicare reassignment Care Compare group NPD
• Drew Woodle, DC

  • Chiropractor
  • Overland Park, KS
  • NPI 1730662065
  Medicare reassignment Care Compare group NPD
• Myron Collins, DC

  • Chiropractor
  • Blue Springs, MO
  • NPI 1669151890
  Medicare reassignment Care Compare group NPD
• Emmanuela Guillaume, DC

  • Chiropractor
  • Kansas City, MO
  • NPI 1992573349
  Medicare reassignment Care Compare group NPD
• Nathan T Hoover, DC

  • Chiropractor
  • Kearney, MO
  • NPI 1235771346
  Medicare reassignment Care Compare group NPD
• Joseph Li, D.C.

  • Chiropractor
  • Madison, NJ
  • NPI 1417352998

  MO

  Medicare reassignment Care Compare group NPD
• Ryan Maurice Nogle, D.C.

  • Chiropractor
  • Independence, MO
  • NPI 1700183563
  Medicare reassignment Care Compare group NPD
• Brennan Jay Robinson, DC

  • Chiropractor
  • Lee's Summit, MO
  • NPI 1730895806
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1376710293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12643 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131317",
            "telephone_number": "913-643-1771",
            "fax_number": "913-643-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12643 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131317",
            "telephone_number": "913-643-1771",
            "fax_number": "913-643-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPORTS AND FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "WOODLE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-643-1771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.