Organization Active NPI

Runnels Chiropractic North LLC

  • Chiropractor
  • Basehor, KS
National Provider Identifier
1710368600
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05687 Issued in KS
Legal business name
RUNNELS CHIROPRACTIC NORTH LLC
Practice address
15510 State Ave Ste 10B
Basehor, KS 66007-7114
Phone
(913) 728-2374
Fax
(913) 728-2384
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Dr. Scott Alan Runnels, D.C.NPI 1306224647
Title
Owner/Operator
Phone
(913) 728-2374

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 01-05687 KS Primary

Addresses

Primary practice location

15510 State Ave Ste 10B
Basehor, KS 66007-7114

Mailing address

15510 State Ave Ste 10B
Basehor, KS 66007-7114
Phone (913) 728-2374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150904000094 KS Part B Supplier - Clinic/Group Practice 5991011090 Receives reassigned benefits from 1 practitioner
Practice locations: Basehor, KS

National Provider Directory

National Provider Directory

Locations

15510 State Ave
Ste 10B
Basehor, KS 66007
Phone (785) 218-6865

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1710368600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15510 STATE AVE STE 10B",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660077114",
            "telephone_number": "913-728-2374",
            "fax_number": "913-728-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15510 STATE AVE STE 10B",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660077114",
            "telephone_number": "913-728-2374",
            "fax_number": "913-728-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNNELS CHIROPRACTIC NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "RUNNELS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "913-728-2374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basehor, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.