Organization Active NPI

Grace Chiropractic Center PLLC

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1669889788
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010079 Issued in PA
Legal business name
GRACE CHIROPRACTIC CENTER PLLC
Doing business as
Wichita Chiropractic
Practice address
9235 E Harry St Ste 30
Wichita, KS 67207-5073
Phone
(316) 685-0020
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Bradley Dahlem Harryman, DC
Title
Chiropractor/Owner
Phone
(316) 685-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC010079 PA Primary

Addresses

Primary practice location

9235 E Harry St Ste 30
Wichita, KS 67207-5073

Mailing address

9235 E Harry St Ste 30
Wichita, KS 67207-5073
Phone (316) 685-0020

Other names 1

  • Wichita Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230301001844 KS Part B Supplier - Clinic/Group Practice 8224259114 Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

9235 E Harry St
Ste 30
Wichita, KS 67207
Phone (316) 685-0020

4456 Oakhurst Blvd
Ste 17
Harrisburg, PA 17110
Phone (717) 412-7131

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1669889788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 E HARRY ST STE 30",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075073",
            "telephone_number": "316-685-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 E HARRY ST STE 30",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075073",
            "telephone_number": "316-685-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "HARRYMAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DAHLEM",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "316-685-0020",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wichita Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.