Tullis Custom Chiropractic & Holistic Health LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05407 Issued in KS

Legal business name

TULLIS CUSTOM CHIROPRACTIC & HOLISTIC HEALTH LLC

Practice address

2431 Main St
Parsons, KS 67357-2725

Phone

(620) 717-4152

Fax

(620) 717-4149

NPI assigned

Jul 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Audrey E Tullis, D.C.NPI 1780969733

Title

Dr.

Phone

(620) 717-4152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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

• Audrey Elizabeth Tullis, D.C.

  • Chiropractor
  • Parsons, KS
  • NPI 1780969733
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1760822878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 MAIN ST",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673572725",
            "telephone_number": "620-717-4152",
            "fax_number": "620-717-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 MAIN ST",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673572725",
            "telephone_number": "620-717-4152",
            "fax_number": "620-717-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULLIS CUSTOM CHIROPRACTIC & HOLISTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "TULLIS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "620-717-4152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Care Center for Change
• The Evangelical Lutheran Good Samaritan Society
• Roger Thompson
• Stephanie M Thompson, WHNP-BC
• Jonathan M Tower, RMA
• Audrey Elizabeth Tullis, D.C.
• Turnbull Enterprises Incorperated
• Twin Mounds Insurance LLC
• University of Kansas Center for Research, Inc.
• Usd 503 Parsons

• All providers in Parsons, KS
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.