Organization Active NPI

Waldman Wellness and Chiropractic LLC

  • Clinic/Center
  • Olathe, KS
National Provider Identifier
1396182572
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
01-05484 Issued in KS
Legal business name
WALDMAN WELLNESS AND CHIROPRACTIC LLC
Doing business as
Key Dynamics Chiropractic
Practice address
153 W 151St St
Suite 150
Olathe, KS 66061-5348
Phone
(913) 390-9355
Fax
(913) 390-9356
NPI assigned
May 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Dr. Shelby Waldman, D.C.
Title
Owner
Phone
(913) 390-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 01-05484 KS Primary

Addresses

Primary practice location

153 W 151St St
Suite 150
Olathe, KS 66061-5348

Mailing address

153 W 151St St
Suite 150
Olathe, KS 66061-5348
Phone (913) 390-9355

Other names 1

  • Key Dynamics Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131023001647 KS Part B Supplier - Clinic/Group Practice 1557596723 Receives reassigned benefits from 1 practitioner
Practice locations: Olathe, KS

National Provider Directory

National Provider Directory

Locations

107 S Main St
Spring Hill, KS 66083
Phone (913) 390-9355

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": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1396182572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W 151ST ST",
            "address_2": "SUITE 150",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615348",
            "telephone_number": "913-390-9355",
            "fax_number": "913-390-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W 151ST ST",
            "address_2": "SUITE 150",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615348",
            "telephone_number": "913-390-9355",
            "fax_number": "913-390-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDMAN WELLNESS AND CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-390-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "01-05484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Dynamics Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 29, 2013; 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.