Individual provider Active NPI

Reid McMullin, DC

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1649930330
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06152 Issued in KS
Practice address
10454 S Ridgeview Rd
Olathe, KS 66061-6438
Phone
(913) 689-2333
NPI assigned
Dec 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 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 01-06152 KS Primary

Addresses

Primary practice location

10454 S Ridgeview Rd
Olathe, KS 66061-6438

Mailing address

7321 Richards Dr
Shawnee, KS 66216-4120
Phone (913) 568-4851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230104000509 MO Practitioner - Chiropractic 4880080530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Chiropractic, PCGroup PAC ID 7719920677, 4 clinicians

Practice addresses (Care Compare)

731 NE Lakewood Blvd
Lees Summit, MO 64064-1353
Phone (816) 373-3373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06152KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Chiropractic P.C. Chiropractor CurrentSince Dec 9, 2022 Accepting new patients
Lakewood Chiropractic, P.C. Chiropractor PastSince Dec 9, 2022 Accepting new patients

Locations

731 N E Lakewood Blvd
Lees Summit, MO 64064
Phone (816) 373-3373

731 NE Lakewood Blvd
Lees Summit, MO 64064
Phone (816) 373-3373

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1649930330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 RICHARDS DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662164120",
            "telephone_number": "913-568-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10454 S RIDGEVIEW RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616438",
            "telephone_number": "913-689-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLIN",
        "first_name": "REID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06152",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.