Organization Active NPI

Integrated Health and Wellness Center, L.L.C.

  • Chiropractor
  • McPherson, KS
National Provider Identifier
1780836601
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04626 Issued in KS
Legal business name
INTEGRATED HEALTH AND WELLNESS CENTER, L.L.C.
Practice address
1319 E 1St St
McPherson, KS 67460-3601
Phone
(620) 504-6344
Fax
(866) 544-7606
NPI assigned
Oct 22, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Brandon Gale Trost, D.C.NPI 1356443717
Title
Owner/Doctor
Phone
(620) 504-6344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081215000085 KS Part B Supplier - Clinic/Group Practice 1557423258 Receives reassigned benefits from 2 practitioners
Practice locations: McPherson, KS

National Provider Directory

National Provider Directory

Locations

1500 E 11th Ave
Ste 57
Hutchinson, KS 67501
Phone (620) 662-7226

1319 E 1st St
McPherson, KS 67460
Phone (620) 504-6344

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 01-04626 KS Primary
Physical Therapy Clinic/Center 261QP2000X KS

Addresses

NPPES NPI Registry

Primary practice location

1319 E 1St St
McPherson, KS 67460-3601

Mailing address

1319 E 1St St
McPherson, KS 67460-3601
Phone (620) 504-6344

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
892624OtherKSBCBS FACILITY NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 3, 2014.

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1780836601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 E 1ST ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674603601",
            "telephone_number": "620-504-6344",
            "fax_number": "866-544-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 E 1ST ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674603601",
            "telephone_number": "620-504-6344",
            "fax_number": "866-544-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH AND WELLNESS CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "TROST",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "620-504-6344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04626",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY NUMBER",
            "identifier": "892624",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.