Active NPI
Olathe Chiropractic LLC
- Chiropractor
- Olathe, KS
National Provider Identifier
1679933436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0105252
- Legal business name
- OLATHE CHIROPRACTIC LLC
- Practice address
- 16041 S Bradley Dr
Olathe, KS 66062-3932 - Phone
- (913) 764-9393
- Fax
- (913) 764-9395
- NPI assigned
- Mar 7, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Jeremy Lee Landry, D.C.
- Title
- Doctor of Chiropractic
- Phone
- (913) 764-9393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160728000988 | KS | Part B Supplier - Clinic/Group Practice | 7113210196 |
Receives reassigned benefits from 2 practitioners Practice locations: Olathe, KS |
National Provider Directory
National Provider DirectoryLocations
16077 S Bradley Dr
Olathe, KS 66062
Phone (913) 764-9393
16041 S Bradley Dr
Olathe, KS 66062
Phone (913) 764-9393
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0105252 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
16041 S Bradley Dr
Olathe, KS 66062-3932
Mailing address
16077 S Bradley Dr
Olathe, KS 66062-3932
Phone (913) 764-9393
Other names 1
NPPES NPI Registry- Olathe Chiropractic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 31, 2023.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685491200000",
"number": "1679933436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16077 S BRADLEY DR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660623932",
"telephone_number": "913-764-9393",
"fax_number": "913-764-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16041 S BRADLEY DR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660623932",
"telephone_number": "913-764-9393",
"fax_number": "913-764-9395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLATHE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-07",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A",
"authorized_official_last_name": "LANDRY",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "913-764-9393",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KS",
"license": "0105252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Olathe Chiropractic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Olathe Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 31, 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.