Organization Active NPI

Complete Chiropractic & Wellness, LLC

  • Chiropractor
  • Shawnee, KS
National Provider Identifier
1720478191
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05674 Issued in KS
Legal business name
COMPLETE CHIROPRACTIC & WELLNESS, LLC
Practice address
7410 Switzer St
Shawnee, KS 66203-4550
Phone
(913) 962-7408
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Kaitlin Lavigne, D.C.NPI 1093105439
Title
Owner
Phone
(913) 912-2614

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 01-05674 KS Primary

Addresses

Primary practice location

7410 Switzer St
Shawnee, KS 66203-4550

Mailing address

8228 W 124TH St
Overland Park, KS 66213-1424
Phone (913) 912-2614

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150324002445 KS Part B Supplier - Clinic/Group Practice 5294052627 Receives reassigned benefits from 1 practitioner
Practice locations: Shawnee Mission, KS

National Provider Directory

National Provider Directory

Locations

10000 W 75th St
Ste 117
Shawnee Msn, KS 66204
Phone (913) 223-7710

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": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1720478191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8228 W 124TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131424",
            "telephone_number": "913-912-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 SWITZER ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662034550",
            "telephone_number": "913-962-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "LAVIGNE",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-912-2614",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.