Active NPI
Kade David Kanelakos, DC
- Chiropractor
- Overland Park, KS
National Provider Identifier
1720676398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-06102
- Practice address
- 10841 W 87TH St Ste 200
Overland Park, KS 66214-1660 - Phone
- (913) 825-3900
- NPI assigned
- Jan 8, 2021
- Last updated
- Jan 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-06102 | KS | Primary |
Addresses
Primary practice location
10841 W 87TH St Ste 200
Overland Park, KS 66214-1660
Mailing address
10 Lakeridge Dr
Arkansas City, KS 67005-4304
Phone (620) 446-0464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 S Broadway
Oak Grove, MO 64075-8102
Phone (816) 625-1598
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-06102 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exculta Health and Wellness | Single Specialty | Current | Accepting new patients |
| Oak Grove Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Knudson & Kadolf Wellness Solutions, Inc. | Chiropractor | Past | Accepting new patients |
| Brittain Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
705 S Broadway
Oak Grove, MO 64075
Phone (816) 625-1598
Organizations & group practices 4
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.
-
- Chiropractor
- Oak Grove, MO
- NPI 1609354844
-
- Chiropractor
- Emporia, KS
- NPI 1891974242
-
- Chiropractor
- Overland Park, KS
- NPI 1801207691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1720676398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LAKERIDGE DR",
"city": "ARKANSAS CITY",
"state": "KS",
"postal_code": "670054304",
"telephone_number": "620-446-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10841 W 87TH ST STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662141660",
"telephone_number": "913-825-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANELAKOS",
"first_name": "KADE",
"middle_name": "DAVID",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-08",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-06102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
- Jeffrey D Kallsen, M.D.
- Apoorv Yashpal Kalra, MD
- Timothy James Kamerzell, MD, PHD
- Kami Ross DDS LLC
- Henry J Kanarek, M.D.
- Patricia Nyakio Kaniu, LPC
- Kansas Anesthesiology Professionals PA
- Kansas Center for Couples and Families
- Kansas City Allergy & Asthma Associates P a
- Kansas City Bone & Joint Clinic PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.