Individual provider Active NPI

Kaylea Dawn Cantrell, DC

  • Chiropractor
  • Gardner, KS
National Provider Identifier
1699364356
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06103 Issued in KS
Practice address
122 E Park St
Gardner, KS 66030-1343
Phone
(913) 286-4968
NPI assigned
Jan 15, 2021
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06103 KS Primary

Addresses

Primary practice location

122 E Park St
Gardner, KS 66030-1343

Mailing address

122 E Park St
Gardner, KS 66030-1343
Phone (918) 740-6661

Other practice location 1

6540 W 95th St Ste 102
Overland Park, KS 66212-1491
Phone (913) 286-4968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104002791 KS Practitioner - Chiropractic 2062945603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 E Park St
Gardner, KS 66030-1343
Phone (913) 286-4968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Chiropractic LLC Chiropractor CurrentSince Oct 1, 2024 Accepting new patients

Locations

122 E Park St
Gardner, KS 66030
Phone (913) 286-4968

6540 W 95th St
Ste 102
Overland Park, KS 66212
Phone (913) 286-4968

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1699364356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E PARK ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301343",
            "telephone_number": "918-740-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E PARK ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301343",
            "telephone_number": "913-286-4968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6540 W 95th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662121491",
            "country_code": "US",
            "telephone_number": "913-286-4968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "KAYLEA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.