Organization Active NPI

Pomeroy Chiropractic Wellness P.a.

  • Chiropractor
  • Bel Aire, KS
National Provider Identifier
1689795056
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04574 Issued in KS
Legal business name
POMEROY CHIROPRACTIC WELLNESS P.A.
Practice address
6254 E 37TH St N Ste 110
Bel Aire, KS 67220-2054
Phone
(316) 686-2020
Fax
(316) 691-9859
NPI assigned
Apr 3, 2007
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Shawn Pomeroy, DCNPI 1366540577
Title
President
Phone
(316) 686-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04574 KS Primary

Addresses

Primary practice location

6254 E 37TH St N Ste 110
Bel Aire, KS 67220-2054

Mailing address

6254 E 37TH St N Ste 110
Bel Aire, KS 67220-2054
Phone (316) 686-2020

Other identifiers 2

IdentifierTypeStateIssuer
62123OtherKSBCBS
660084OtherKSMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

6254 E 37th St N
Ste 110
Bel Aire, KS 67220
Phone (316) 686-2020

433 E Madison Ave
Derby, KS 67037
Phone (316) 613-2313

946 N Buckner St
Derby, KS 67037
Phone (316) 613-2313

6432 E 34th St N
Ste 110
Wichita, KS 67226
Phone (316) 686-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1689795056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6254 E 37TH ST N STE 110",
            "city": "BEL AIRE",
            "state": "KS",
            "postal_code": "672202054",
            "telephone_number": "316-686-2020",
            "fax_number": "316-691-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6254 E 37TH ST N STE 110",
            "city": "BEL AIRE",
            "state": "KS",
            "postal_code": "672202054",
            "telephone_number": "316-686-2020",
            "fax_number": "316-691-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMEROY CHIROPRACTIC WELLNESS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "POMEROY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-686-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62123",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "660084",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Aire, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.