NPIMap

Organization Active NPI

Carl S Cleveland IV, DC LLC

  • Chiropractor
  • Leawood, KS
National Provider Identifier
1578858270
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05403 Issued in KS
Legal business name
CARL S CLEVELAND IV, DC LLC
Practice address
8016 State Line Rd
Ste 100
Leawood, KS 66208
Phone
(913) 341-4300
Fax
(913) 341-4301
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Dr. Carl S Cleveland IV
Title
Owner
Phone
(913) 341-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-05403 KS Primary

Addresses

Primary practice location

8016 State Line Rd
Ste 100
Leawood, KS 66208

Mailing address

8016 State Line
Ste 100
Leawood, KS 66208
Phone (913) 341-4300

National Provider Directory

National Provider Directory

Locations

8016 State Line Rd
Ste 100
Prairie Vlg, KS 66208
Phone (913) 341-4300

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1578858270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 STATE LINE",
            "address_2": "STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-341-4300",
            "fax_number": "913-341-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8016 STATE LINE RD",
            "address_2": "STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-341-4300",
            "fax_number": "913-341-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL S CLEVELAND IV, DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-341-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05403",
            "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 Jun 10, 2011; 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.