Organization Active NPI

All Spine Chiropractic and Wellness, LLC

  • Chiropractor
  • Shawnee, KS
National Provider Identifier
1497478903
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALL SPINE CHIROPRACTIC AND WELLNESS, LLC
Practice address
5931 Nieman Rd
Shawnee, KS 66203-2931
Phone
(316) 617-7348
NPI assigned
Sep 20, 2022
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dr. Alissa Rachelle GouldNPI 1245795137
Title
Owner
Phone
(316) 617-7348

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

5931 Nieman Rd
Shawnee, KS 66203-2931

Mailing address

5931 Nieman Rd Ste 100
Shawnee, KS 66203-2904
Phone (913) 914-7090

Other practice location 1

126 N Main St
Cheney, KS 67025-8606
Phone (316) 816-0552

Other identifiers 1

IdentifierTypeStateIssuer
01-05964OtherKSKANSAS BOARD OF HEALING ARTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221207000252 KS Part B Supplier - Clinic/Group Practice 0143699546 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Shawnee, KS; Cheney, KS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
All Spine Chiropractic and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5931 Nieman Rd
Shawnee, KS 66203
Phone (316) 617-7348

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1497478903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 NIEMAN RD STE 100",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032904",
            "telephone_number": "913-914-7090",
            "fax_number": "913-391-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032931",
            "telephone_number": "316-617-7348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 N Main St",
            "address_purpose": "LOCATION",
            "city": "Cheney",
            "state": "KS",
            "postal_code": "670258606",
            "country_code": "US",
            "telephone_number": "316-816-0552",
            "fax_number": "913-391-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALL SPINE CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-617-7348",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BOARD OF HEALING ARTS",
            "identifier": "01-05964",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.