Organization Active NPI

Olathe Chiropractic LLC

Doing business as Olathe Chiropractic

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1679933436
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105252 Issued in KS
Legal business name
OLATHE CHIROPRACTIC LLC
Doing business as
Olathe Chiropractic
Practice address
16041 S Bradley Dr
Olathe, KS 66062-3932
Phone
(913) 764-9393
Fax
(913) 764-9395
NPI assigned
Mar 7, 2016
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Dr. Jeremy Lee Landry, D.C.NPI 1134369994
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.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0105252 KS Primary

Addresses

Primary 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

  • Olathe Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160728000988 KS Part B Supplier - Clinic/Group Practice 7113210196 Receives reassigned benefits from 2 practitioners
Practice locations: Olathe, KS

National Provider Directory

National Provider Directory

Locations

15930 S Mur Len Rd
Olathe, KS 66062
Phone (913) 481-6997

16041 S Bradley Dr
Olathe, KS 66062
Phone (913) 764-9393

16077 S Bradley Dr
Olathe, KS 66062
Phone (913) 764-9393

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.