Organization Active NPI

Procare Chiropractic PA

  • Preferred Provider Organization
  • Olathe, KS
National Provider Identifier
1558525477
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
5170 Issued in KS
Legal business name
PROCARE CHIROPRACTIC PA
Practice address
15211 S Blackbob Rd
Olathe, KS 66062-3316
Phone
(913) 393-1303
Fax
(913) 393-1306
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Dr. Molly M Meylor-Scott, D.C.
Title
Owner/President
Phone
(913) 393-1303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 5170 KS Primary

Addresses

Primary practice location

15211 S Blackbob Rd
Olathe, KS 66062-3316

Mailing address

15211 S Blackbob Rd
Olathe, KS 66062-3316
Phone (913) 393-1303

Other identifiers 1

IdentifierTypeStateIssuer
39871023OtherKSBCBSKC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080801000305 KS Part B Supplier - Clinic/Group Practice 9234203787 Receives reassigned benefits from 2 practitioners
Practice locations: Olathe, KS

National Provider Directory

National Provider Directory

Locations

15211 S Blackbob Rd
Olathe, KS 66062
Phone (913) 393-1303

Practitioners & affiliated clinicians

Practitioners 2

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": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1558525477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15211 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623316",
            "telephone_number": "913-393-1303",
            "fax_number": "913-393-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623316",
            "telephone_number": "913-393-1303",
            "fax_number": "913-393-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "MEYLOR-SCOTT",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "913-393-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "KS",
            "license": "5170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "39871023",
            "state": "KS"
        }
    ],
    "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 Jul 22, 2021; 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.