Individual provider Active NPI

Brandon Lee Thomas Van Anne, DC

  • Chiropractor
  • Leawood, KS
National Provider Identifier
1558933887
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06137 Issued in KS
Practice address
7000 W 121St St Ste 100
Leawood, KS 66209-2010
Phone
(620) 794-5466
NPI assigned
Jul 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06137 KS Primary

Addresses

Primary practice location

7000 W 121St St Ste 100
Leawood, KS 66209-2010

Mailing address

737 S Cypress St
Gardner, KS 66030-8412
Phone (620) 794-5466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01-06137KSMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1558933887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 S CYPRESS ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660308412",
            "telephone_number": "620-794-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W 121ST ST STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092010",
            "telephone_number": "620-794-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ANNE",
        "first_name": "BRANDON",
        "middle_name": "LEE THOMAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.